Robert A. Devereaux, M.D., Inc. in Fountain Valley - Primary Care

Robert A. Devereaux, M.D., Inc. - NPI 1538344189

Robert A. Devereaux, M.D., Inc. is a Primary Care in Fountain Valley, California. Robert A. Devereaux, M.D., Inc. practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Robert A. Devereaux, M.D., Inc. is 1538344189. The last update date is 2008-02-06.

Robert A. Devereaux, M.D., Inc.'s current location address is 11100 Warner Ave, Fountain Valley, California. You can contact this provider via phone number 7149579389 and fax number 7149570144. The mailing address for Robert A. Devereaux, M.D., Inc. is 11100 Warner Ave, Fountain Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert A. Devereaux, M.D., Inc.
Address 11100 Warner Ave, Fountain Valley, California
Phone Number 7149579389
Fax Number 7149570144
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Devereaux Allan Robert
Credentials M.D.
Telephone Number 7149579389

NPI Number Detail

NPI Number 1538344189
Provider Enumeration Date 2008-01-02
Last Updated Date 2008-02-06

Provider Mailing Address Detail

Address 11100 Warner Ave
City Fountain Valley
State California (CA)
Post Code 927087506
Phone Number 7149579389
Fax Number 7149570144

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 261Qp2300X
Licence No A31475
Definition:
Serves as the first point of contact for comprehensive healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A314750 CA --

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FAQs about Robert A. Devereaux, M.D., Inc.

What is the unique provider identifier assigned to Robert A. Devereaux, M.D., Inc.?

The Robert A. Devereaux, M.D., Inc. has been issued the NPI (National Provider Identifier) 1538344189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Robert A. Devereaux, M.D., Inc. is geographically located?

The Robert A. Devereaux, M.D., Inc. is physically situated at the following location: 11100 Warner Ave, Fountain Valley, CA, 927087506.

What is Robert A. Devereaux, M.D., Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Robert A. Devereaux, M.D., Inc.'s specialized field of practice is Primary Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qp2300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538344189 to Robert A. Devereaux, M.D., Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1538344189 to Robert A. Devereaux, M.D., Inc. on 2008-01-02.

As of what date were the Robert A. Devereaux, M.D., Inc.'s details last updated?

The information pertaining to the Robert A. Devereaux, M.D., Inc., including its address, specialty, and other details, was most recently updated on 2008-02-06.

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