Individual provider · Type 1 NPI
Carolyn Marie Perry, PA-C
Medical Physician Assistant · Newport Beach, CA
NPI number
1124276209
Active
Practice location
1401 Avocado Ave, Suite 307
Newport Beach, CA 92660-7720
Fax (949) 720-9710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA19869 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1124276209
Carolyn Marie Perry, PA-C's National Provider Identifier is 1124276209, issued on Sep 3, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 3, 2008.