Individual
CAROLYN NAKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
505 S MAIN ST STE 300, ORANGE, CA 92868-4523
(714) 509-7070
Mailing address
505 S MAIN ST STE 300, ORANGE, CA 92868-4523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
09/23/2021
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