DONGWHAN IM, PHYSICIAN ASSISTANT
Physician Assistant
Active
Individual
NPI: 1174257414
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1174257414 is the National Provider Identifier for DONGWHAN IM, PHYSICIAN ASSISTANT, a Physician Assistant provider located in Tustin, CA. This NPI was enumerated on July 12, 2022.
DONGWHAN IM, PHYSICIAN ASSISTANT practices at 13522 NEWPORT AVE, Tustin, CA 92780.
Quick Facts
- NPI
- 1174257414
- Type
- Individual
- Enumerated
- Jul 12, 2022
- Last Updated
- Jul 9, 2025
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