IndividualActive
Andrew So, PA
NPI 1093749533 · Surgical Physician Assistant · Santa Ana, CA
Provider details
- NPI number
- 1093749533
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA17558 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
3000 W Macarthur Blvd Ste 600
Santa Ana, CA 92704-6982
Phone: (949) 216-3244
Approximate (ZIP-level) locationGet directions
Mailing address
3000 W Macarthur Blvd Ste 600
Santa Ana, CA 92704-6982
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.