MEDICARE: MR. MICHAEL DON CORDIA PA-C

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
1	363AM0700X	Medical Physician Assistant	19221	CA

General Provider Information

NPI Number	:	1659563369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL DON CORDIA PA-C

Provider Business Mailing Address
First Line	:	3702 CLAREMONT ST
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6615
Country	:	US
Telephone Number	:	949-293-6153
Fax Number	:

Provider Business Practice Location Address
First Line	:	4440 VON KARMAN AVE
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2088
Country	:	US
Telephone Number	:	949-432-9002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	11/14/2025

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