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NPI Code Detail

MEDICARE: HENA THOPPIL LONAPPAN PA-C

MEDICARE: HENA THOPPIL LONAPPAN 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
1363A00000XPhysician AssistantPA64077CA

General Provider Information

NPI Number : 1689432320
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENA THOPPIL LONAPPAN PA-C
Provider Business Mailing Address
First Line : 19200 VON KARMAN AVE STE 350
Second Line :
City : IRVINE
State : CA
Zip : 92612-8509
Country : US
Telephone Number : 949-202-7566
Fax Number : 949-437-3428
Provider Business Practice Location Address
First Line : 4199 CAMPUS DR STE 550
Second Line :
City : IRVINE
State : CA
Zip : 92612-4694
Country : US
Telephone Number : 949-202-7566
Fax Number : 949-437-3428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2024
Last Update Date : 12/01/2025

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Directions to “ HENA THOPPIL LONAPPAN PA-C” Practice Location

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