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NPI Code Detail

MEDICARE: KATHERINE MICHELLE CUNHA NP

MEDICARE: KATHERINE MICHELLE CUNHA NP
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
1363L00000XNurse Practitioner95009473CA
2363LF0000XFamily Nurse Practitioner95009473CA

General Provider Information

NPI Number : 1699242776
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MICHELLE CUNHA NP
Provider Business Mailing Address
First Line : PO BOX 512185
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-0185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 MAIN ST STE 300
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92648-2489
Country : US
Telephone Number : 714-252-9415
Fax Number : 714-963-8407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2018
Last Update Date : 05/30/2024

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Directions to “ KATHERINE MICHELLE CUNHA NP” Practice Location

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