Individual provider · Type 1 NPI

Olivia Tirado, PA

Surgical Physician Assistant · Orange, CA

NPI number 1962703504 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Call (714) 880-7812 Map

Mailing address

1668 Dominican Way
Santa Cruz, CA 95065-1522

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XPA21265 (CA)
Surgical Physician Assistant Primary 363AS0400XPA21265 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1962703504

Olivia Tirado, PA's National Provider Identifier is 1962703504, issued on Nov 13, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orange, CA. The record was last updated on Nov 16, 2023.