Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eunji Back

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942919675

Eunji Back is a Physician Assistant in Laguna Woods, California. Qualified in 2023, 3 years ago. Practices with Orthowest, a 47-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

24331 El Toro Rd Ste 200
Laguna Woods, CA 92637-3116
Phone: (949) 586-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63479 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942919675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2022
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address9412 Canterbury Ln, Garden Grove, CA 92841-3431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Orthowest — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Laguna Woods