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NPI Code Detail

MEDICARE: MS. PEI-JING MA PA

MEDICARE: MS. PEI-JING MA PA
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 AssistantPA16930CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2330311953OTHERCATRICARE

General Provider Information

NPI Number : 1912989591
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PEI-JING MA PA
Provider Business Mailing Address
First Line : 4401 W MEMORIAL RD
Second Line : SUITE 121
City : OKLAHOMA CITY
State : OK
Zip : 73134-1785
Country : US
Telephone Number : 405-751-4664
Fax Number : 405-749-4561
Provider Business Practice Location Address
First Line : 101 E VALENCIA MESA DR
Second Line : EM DEPT
City : FULLERTON
State : CA
Zip : 92835-3809
Country : US
Telephone Number : 714-992-3965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2005
Last Update Date : 09/18/2009

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