Individual
ANDO MUNENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3501 JAMBOREE RD STE 1250, NEWPORT BEACH, CA 92660-2939
(310) 971-3243
Mailing address
220 NEWPORT CENTER DR # 11-282, NEWPORT BEACH, CA 92660-7506
(310) 971-3243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005499
VA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2016
Last updated
08/05/2019
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