Patricia Tu Gandasetiawan, PA-C
Patricia Tu Gandasetiawan, PA-C is a Physician Assistant in Brea, California. Qualified in 2018, 8 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 8
- Licensed in
- CA
- In the registry since
- 2018
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
955 W Imperial Hwy Ste 110Brea, CA 92821-3814
Phone: (714) 449-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 55684 (CA) |
|---|
Record details
| NPI number | 1609361252 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 26, 2018 |
| Last updated in NPPES | October 7, 2022 |
| Certification date | October 7, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Providence Medical Foundation — 1465 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Brea
-
Samantha Tu Nhi Cao
955 W Imperial Hwy, Brea, CA 92821-3812 · (714) 579-6826
-
Jennifer Jung
700 E Birch St Po 416, Brea, CA 92822-2000 · (714) 715-2345
-
Cynthia Ong Nguyen, PA-C
955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 · (714) 626-6310
-
Andrew Edward Perry, PA-C
395 W Central Ave, Brea, CA 92821-3025 · (909) 639-8800
-
Trang Doan-Minh Phan, PA-C
955 W Imperial Hwy Ste 200, Brea, CA 92821-3812 · (714) 626-6310