Individual provider · Type 1 NPI
Paul Plaza
General Practice Registered Nurse · Orange, CA
NPI number
1477157972
Active
Practice location
331 The City Dr S
Orange, CA 92868-3205
Mailing address
26631 Heather Brk
Lake Forest, CA 92630-5616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 95177464 (CA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1477157972
Paul Plaza's National Provider Identifier is 1477157972, issued on Nov 24, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Orange, CA. The record was last updated on Nov 24, 2020.