Provider Demographics
NPI:1578656997
Name:TONEVA-MERDJANOVA, EUGENIA (PA-C)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:
Last Name:TONEVA-MERDJANOVA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:949-923-3250
Mailing Address - Fax:855-812-5865
Practice Address - Street 1:32312 CAMINO CAPISTRANO
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-4518
Practice Address - Country:US
Practice Address - Phone:949-489-9112
Practice Address - Fax:949-489-1231
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA18193363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant