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NPI Code Detail

MEDICARE: SINA POPAL

MEDICARE: SINA POPAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1518496256
Entity Type Code : Individual
Provider Name (Legal Business Name) : SINA POPAL
Provider Business Mailing Address
First Line : 3210 S SHANNON ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-6353
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3210 S SHANNON ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-6353
Country : US
Telephone Number : 714-345-0796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 06/07/2017

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Directions to “ SINA POPAL ” Practice Location

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