Individual provider · Type 1 NPI

Queenolive Chinemerem Muoh

Physician Assistant · Tustin, CA

NPI number 1750231908 Active

Practice location

17612 17th St
Tustin, CA 92780-1962

Call (714) 243-5453 Map

Mailing address

1731 E 120th St
Los Angeles, CA 90059-3051

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750231908

Queenolive Chinemerem Muoh's National Provider Identifier is 1750231908, issued on Jan 29, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tustin, CA. The record was last updated on Jan 29, 2026.