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General NPI Number Information
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NPI Number | 1053569483
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Entity Type | Individual
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Provider Name | PAUL D SYCHANGCO M.D,
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Gender | Male
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 17360 BROOKHURST ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3720
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Country | US
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Telephone | 877-844-0012
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Fax | 147-665-4680
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Provider Business Mailing Address
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Address Line | 17360 BROOKHURST ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3720
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Country | US
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Telephone | 877-844-0012
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Fax | 147-665-4680
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A124284
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A124284
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License Number State | CA
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