Provider Demographics
NPI:1679810048
Name:AROVAS, JEAN E (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:E
Last Name:AROVAS
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 1:950 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2526
Mailing Address - Country:US
Mailing Address - Phone:949-338-7070
Mailing Address - Fax:949-494-2833
Practice Address - Street 1:950 WILSON ST
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2526
Practice Address - Country:US
Practice Address - Phone:949-338-7070
Practice Address - Fax:949-494-2833
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-05
Last Update Date:2013-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA12130363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical