Healthcare Provider Details

I. General information

NPI: 1982028122
Provider Name (Legal Business Name): RENEE STROFFE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 KATELLA AVE STE 414
LOS ALAMITOS CA
90720-3386
US

IV. Provider business mailing address

25500 RANCHO NIGUEL RD STE 280
LAGUNA NIGUEL CA
92677-7306
US

V. Phone/Fax

Practice location:
  • Phone: 562-430-9900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number51434
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number51434
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: