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QUEENOLIVE CHINEMEREM MUOH
NPI 1750231908
Physician Assistant in Tustin, CA

Active since January 29, 2026
17612 17TH ST, TUSTIN, CA 92780(714) 243-5453 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Queenolive Chinemerem Muoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEENOLIVE CHINEMEREM MUOH (NPI 1750231908) is an individual physician assistant in Tustin, California and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1750231908
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameQUEENOLIVE CHINEMEREM MUOH
Location Address17612 17TH STTustin, CA 92780-1962
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051 · (510) 565-9970
Phone(714) 243-5453
Sole ProprietorNo
Enumeration DateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
✔ NPI 1750231908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
17612 17TH ST, Tustin, CA 92780
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY STENGEL PA-C
Physician Assistant
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
BERNICE JANA JACOB FNP
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
GRACE CATHERINE THOMAS PA-C
Physician Assistant
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
LEILANI ANGELO CASINO
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
KATIE NGUYEN
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
JANNINE KAY RELOVA NP
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
JOCELYN DANG NP
Nurse Practitioner (Family)
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450
TRAM-ANH LE PA
Physician Assistant
17612 17TH ST
TUSTIN, CA 92780
Orange County (714) 243-5450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queenolive Muoh's NPI number?

The NPI number for Queenolive Muoh is 1750231908. It was assigned to this individual provider in the NPPES registry on January 29, 2026.

Where is Queenolive Muoh located?

Queenolive Muoh practices at 17612 17th St, Tustin, CA 92780. The listed phone number is (714) 243-5453.

What is Queenolive Muoh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Queenolive Muoh was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.