Provider Demographics
NPI:1750587143
Name:DONOHUE, AMANDA MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:MICHAEL
Last Name:DONOHUE
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Gender:F
Credentials:DO
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Mailing Address - Street 1:18111 BROOKHURST ST
Mailing Address - Street 2:#5100
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6728
Mailing Address - Country:US
Mailing Address - Phone:714-546-2238
Mailing Address - Fax:714-434-8145
Practice Address - Street 1:18111 BROOKHURST ST
Practice Address - Street 2:#5100
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6728
Practice Address - Country:US
Practice Address - Phone:714-546-2238
Practice Address - Fax:714-434-8145
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2020-11-09
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Provider Licenses
StateLicense IDTaxonomies
CA20A9799207RC0000X
UT7996434-1204207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease