Healthcare Provider Details

I. General information

NPI: 1700600129
Provider Name (Legal Business Name): CASSANDRA ROSE BRAUNSTEIN PA-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24411 HEALTH CENTER DR STE 350
LAGUNA HILLS CA
92653-3687
US

IV. Provider business mailing address

30932 MAUNA KEA PL
LAGUNA NIGUEL CA
92677-2457
US

V. Phone/Fax

Practice location:
  • Phone: 949-457-7900
  • Fax:
Mailing address:
  • Phone: 949-351-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: