Provider Demographics
NPI:1720620487
Name:STRAUSS, TAEHEE (PA)
Entity Type:Individual
Prefix:MRS
First Name:TAEHEE
Middle Name:
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:TAEHEE
Other - Middle Name:
Other - Last Name:CHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16405 SAND CANYON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3786
Mailing Address - Country:US
Mailing Address - Phone:949-383-4190
Mailing Address - Fax:
Practice Address - Street 1:16405 SAND CANYON AVE STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3786
Practice Address - Country:US
Practice Address - Phone:949-383-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant