Individual
PAUL PLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 THE CITY DR S, ORANGE, CA 92868-3205
(714) 935-7160
Mailing address
26631 HEATHER BRK, LAKE FOREST, CA 92630-5616
(949) 500-9458
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95177464
CA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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