NPI Code Details Logo

NPI 1225400146

NPI 1225400146 : PAVEENA DOAN N.P. : SANTA ANA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225400146
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PAVEENA DOAN N.P.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/30/2015
-----------------------------------------------------
    Last Update Date     |    12/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2929 S HARBOR BLVD 
-----------------------------------------------------
    City                 |    SANTA ANA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92704-6428
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    626-696-5156
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2929 S HARBOR BLVD 
-----------------------------------------------------
    City                 |    SANTA ANA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92704-6428
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    626-696-5156
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    95002603
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.