Quyen T Despas in Hesperia - Physician Assistant
Quyen T Despas - NPI 1154454908
Quyen T Despas is a Physician Assistant in Hesperia, California. Quyen T Despas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Quyen T Despas is 1154454908. The last update date is 2010-05-13.
Quyen T Despas's current location address is 14575 Main St, Hesperia, California. You can contact this provider via phone number 7609470727 and fax number 7609476219. The mailing address for Quyen T Despas is 14575 Main St, Hesperia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Quyen T Despas |
|---|---|
| Address | 14575 Main St, Hesperia, California |
| Phone Number | 7609470727 |
| Fax Number | 7609476219 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154454908 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2010-05-13 |
Provider Mailing Address Detail
| Address | 14575 Main St |
|---|---|
| City | Hesperia |
| State | California (CA) |
| Post Code | 923453322 |
| Phone Number | 7609470727 |
| Fax Number | 7609476219 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA18627 |
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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 perfor |
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What is the unique 10-digit identification code assigned to Quyen T Despas by the Centers for Medicare & Medicaid Services?
The Quyen T Despas has been issued the NPI (National Provider Identifier) 1154454908, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Quyen T Despas is geographically located?
The Quyen T Despas is physically situated at the following location: 14575 Main St, Hesperia, CA, 923453322.
What is the Quyen T Despas's specialty and taxonomy code?
The Quyen T Despas's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154454908 to Quyen T Despas?
The Centers for Medicare & Medicaid Services assigned the 1154454908 to Quyen T Despas on 2007-03-13.
As of what date were the details related to Quyen T Despas most recently updated or revised?
The information pertaining to Quyen T Despas, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-13.