Individual
GINA M G DUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PAC
Contact information
Practice address
3900 W COAST HWY STE 330, NEWPORT BEACH, CA 92663-4093
(949) 764-6090
(949) 764-6085
Mailing address
3900 W COAST HWY STE 330, NEWPORT BEACH, CA 92663-4093
(949) 764-6090
(949) 764-6085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA53400
CA LICENSE
CA
Enumeration date
01/09/2006
Last updated
09/21/2023
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