IndividualActive
Ando Muneno, PA-C
NPI 1164977005 · Surgical Physician Assistant · Newport Beach, CA
Provider details
- NPI number
- 1164977005
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0110-005499 (VA)
Practice location
3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2939
Phone: (310) 971-3243
Mailing address
220 Newport Center Dr # 11-282
Newport Beach, CA 92660-7506
Registry dates
- Enumerated
- 2016-08-21
- Last updated
- 2019-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.