Provider Demographics
NPI:1912134495
Name:MURESAN, DONNA ROXANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ROXANNE
Last Name:MURESAN
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:23521 PASEO DE VALENCIA STE 204
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3101
Mailing Address - Country:US
Mailing Address - Phone:949-458-2026
Mailing Address - Fax:949-273-8053
Practice Address - Street 1:23521 PASEO DE VALENCIA STE 204
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3101
Practice Address - Country:US
Practice Address - Phone:949-458-2026
Practice Address - Fax:949-273-8053
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19501363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical