P.A.-C. Stacey Mcilroy, NPI 1639155740
Surgical Physician Assistant in Newport Beach, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1639155740
NPI Entity Type Individual
Provider Name P.A.-C. Stacey Mcilroy
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 22 Corporate Plaza Dr, Newport Beach, CA, US
Provider Mailing Address 22 Corporate Plaza Dr., Newport Beach, CA, US, 92660
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363AS0400X

Taxonomy Name Surgical Physician Assistant
Classification

Physician Assistant

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 53563
License State CA
Description Definition to come...

Other Name

Stacey Angulo
Other Name

Business Address

P.A.-C. Stacey Mcilroy
22 Corporate Plaza Dr

Newport Beach, CA, US

Phone: 949-722-7038
Fax: 949-630-4900

Mailing Address

P.A.-C. Stacey Mcilroy
22 Corporate Plaza Dr.
Newport Beach, CA, US
ZIP 92660
Phone: 949-722-5017
Fax: 949-432-3354

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363AS0400X

Physician Assistants & Advanced Practice Nursing Providers

Physician Assistant

2272 AZ No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
486549 AZ MEDICAID 05
P00021617 AZ RAILROAD MEDICARE 01
86080015085259C297 AZ TRIWEST 01

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