Individual provider · Type 1 NPI

Courtney Maciel, PA-C

Medical Physician Assistant · Orange, CA

NPI number 1275815987 Active

Practice location

363 S Main St Ste 220
Orange, CA 92868-3816

Call (714) 634-4567 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA21831 (CA)
Physician Assistant 363A00000XPA21831 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1275815987

Courtney Maciel, PA-C's National Provider Identifier is 1275815987, issued on Sep 20, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orange, CA. The record was last updated on Mar 5, 2026.