Provider Demographics
NPI:1982701249
Name:SHUGARMAN, ANNIE KAYE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:KAYE
Last Name:SHUGARMAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:24422 AVENIDA DE LA CARLOTA STE 300
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3628
Mailing Address - Country:US
Mailing Address - Phone:949-599-2434
Mailing Address - Fax:949-599-2430
Practice Address - Street 1:333 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2179
Practice Address - Country:US
Practice Address - Phone:949-347-7200
Practice Address - Fax:949-347-7217
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2022-03-02
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Provider Licenses
StateLicense IDTaxonomies
CAPA 13421363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant