Healthcare Provider Details

I. General information

NPI: 1770697690
Provider Name (Legal Business Name): MYRLEE CUICHING APPEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MYRLEE REYES CUICHING PA-C

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 SUPERIOR AVE STE 290
NEWPORT BEACH CA
92663-3664
US

IV. Provider business mailing address

1010 W LA VETA AVE STE 710
ORANGE CA
92868-4306
US

V. Phone/Fax

Practice location:
  • Phone: 949-764-4500
  • Fax: 949-764-4499
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA15111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: