Queenolive Chinemerem Muoh

Physician Assistant · Tustin, CA

Individual Active NPI

NPI number 1750231908

Practice location

17612 17TH St
Tustin, CA 92780-1962
Phone
(714) 243-5453

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NPI record

NPI
1750231908
Entity type
Individual (Type 1)
Enumeration date
January 29, 2026
Last updated
January 29, 2026
Certified
January 29, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — CA

Mailing address

1731 E 120TH St
Los Angeles, CA 90059-3051
Phone
(510) 565-9970

About Queenolive Muoh

Queenolive Chinemerem Muoh is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 17612 17TH St, Tustin, CA 92780-1962. The NPI number 1750231908 was assigned on January 29, 2026 and the record was last updated on January 29, 2026.

Frequently asked questions

What is the NPI number of Queenolive Chinemerem Muoh?

The NPI number is 1750231908.

What is the phone number of Queenolive Muoh?

The phone number listed for the practice location is (714) 243-5453.

Where is Queenolive Muoh located?

17612 17TH St, Tustin, CA 92780-1962.

What is the taxonomy code for Queenolive Muoh?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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