Individual
CASSIE S POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-3656
(714) 456-8017
Mailing address
200 S MANCHESTER AVE, SUITE 210, ORANGE, CA 92868-3217
(714) 456-3656
(714) 456-8017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001537100
—
FL
Enumeration date
09/11/2009
Last updated
11/13/2014
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