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Elizabeth Ann Dingbaum, PA
Medical Physician Assistant in Costa Mesa, California
NPI 1073101564

Elizabeth Ann Dingbaum is a Medical Physician Assistant based in Costa Mesa, CA and is specialized in Medical. Elizabeth Ann Dingbaum practices in Costa Mesa, CA and has the professional credentials of PA. The NPI Number for Elizabeth Ann Dingbaum is 1073101564 and holds a License No. (California).

The current practice location address for Elizabeth Ann Dingbaum is 1550 Superior Ave, Costa Mesa, CA and can be reached out via phone at 949-270-2100 and via fax at 949-650-4458.

Location: 1550 Superior Ave, Costa Mesa, CA, 92627-0050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073101564
Provider Name
Elizabeth Ann Dingbaum
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1550 Superior Ave, Costa Mesa, CA, 92627-0050
Phone Number
949-270-2100
Fax Number
949-650-4458
Provider Enumeration Date
01/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1550 Superior Ave
City
Costa Mesa
State
California
Zip
92627-3653
Phone Number
949-270-2100
Fax Number
949-650-4458
person
Provider Business Mailing Address Details
Address
1550 Superior Ave
City
Costa Mesa
State
California
Zip
92627-3653
Phone Number
949-270-2100
Fax Number
949-650-4458
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
59243 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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