Individual provider · Type 1 NPI

Michael Gore

Family Nurse Practitioner · Costa Mesa, CA

NPI number 1265359459 Active

Practice location

150 Paularino Ave Ste D170
Costa Mesa, CA 92626-3333

Call (949) 227-9102 Map

Mailing address

18 Willowood
Aliso Viejo, CA 92656-2972

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95040355 (CA)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1265359459

Michael Gore's National Provider Identifier is 1265359459, issued on Jun 30, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jun 30, 2026.