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NPI Code Detail

MEDICARE: AMANDA DEARINGER MS, PA

MEDICARE: AMANDA DEARINGER MS, 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 Assistant

General Provider Information

NPI Number : 1962926006
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA DEARINGER MS, PA
Provider Business Mailing Address
First Line : 830 VENETO
Second Line :
City : IRVINE
State : CA
Zip : 92614-5963
Country : US
Telephone Number : 760-703-8265
Fax Number :
Provider Business Practice Location Address
First Line : 801 E KATELLA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-6614
Country : US
Telephone Number : 714-633-6373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2017
Last Update Date : 03/02/2023

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Directions to “ AMANDA DEARINGER MS, PA” Practice Location

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