Individual
DEIDRE KAWAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10580 BRUNS DR, TUSTIN, CA 92782-1413
(714) 722-0203
Mailing address
10580 BRUNS DR, TUSTIN, CA 92782-1413
(714) 722-0203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09250798
CA
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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