Elizabeth Koprucki
Physician Assistant in Newport Beach, CA. Individual provider (NPI-1).
NPI number1003559907
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1003559907
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Koprucki
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2022
- Certification date
- Feb 27, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2075 San Joaquin Hills RdNewport Beach, CA 92660-6505
Phone 651-373-6604
Mailing address
2075 San Joaquin Hills RdNewport Beach, CA 92660-6505
Phone 651-373-6604
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