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Individual

LISA CAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
18111 BROOKHURST ST., SUITE 6100, FOUNTAIN VALLEY, CA 92708
(657) 241-9755
(714) 907-4407
Mailing address
18111 BROOKHURST ST., SUITE 6100, FOUNTAIN VALLEY, CA 92708
(657) 241-9755
(714) 907-4407

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
59411
CA

Other

Enumeration date
11/12/2018
Last updated
04/05/2023
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