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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DONGWHAN DUSTIN IM, PHYSICIAN ASSISTANT

Active Sole Proprietor

DONGWHAN DUSTIN IM, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in TUSTIN, California. NPI 1174257414 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TUSTIN, CA

Registration Details

NPI Number
1174257414
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2022 (4.0866216609653 yrs)
Last Updated
Jul 9, 2025
Sole Proprietor
Yes

Practice Information

Address
13522 NEWPORT AVE
TUSTIN, CA, 927803707
Browse CA providers · Browse ZIP 92780
Phone
7149871121
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TUSTIN, CA

Name Credential NPI
ROSSY ALICIA PEREZ PA-C 1417930272
ADELA ASHRAF PA-C 1356385215
MISS MIMI ANH MAI TRAN PA-C 1952331415
MR. CARLOS GUERRERO PA-C 1023026523
DR. RAIF WADIE ISKANDER PA-C, D.C. 1952463564
NAZEMA GOSLA PA 1659493674
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.