Provider Demographics
NPI:1831744382
Name:LANGAEE, TINA MARIA (PA)
Entity type:Individual
Prefix:MS
First Name:TINA
Middle Name:MARIA
Last Name:LANGAEE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1248 SPECTRUM
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3116
Mailing Address - Country:US
Mailing Address - Phone:352-359-8227
Mailing Address - Fax:
Practice Address - Street 1:23141 MOULTON PKWY
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1241
Practice Address - Country:US
Practice Address - Phone:949-600-6334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2023-02-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant