Michael Gavin Deguzman in Moreno Valley - Medical
Michael Gavin Deguzman - NPI 1235202144
Michael Gavin Deguzman is a Medical in Moreno Valley, California. Michael Gavin Deguzman practices all healthcare services and medical treatments related to Medical. The NPI Number for Michael Gavin Deguzman is 1235202144. The last update date is 2007-07-08.
Michael Gavin Deguzman's current location address is 12712 Heacock St Ste 3, Moreno Valley, California. You can contact this provider via phone number 9516016802 and fax number 9516019263. The mailing address for Michael Gavin Deguzman is 12712 Heacock St Ste 3, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Gavin Deguzman |
|---|---|
| Address | 12712 Heacock St Ste 3, Moreno Valley, California |
| Phone Number | 9516016802 |
| Fax Number | 9516019263 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1235202144 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12712 Heacock St Ste 3 |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925533037 |
| Phone Number | 9516016802 |
| Fax Number | 9516019263 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA 14892 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Michael Gavin Deguzman's unique identification number?
The Michael Gavin Deguzman has been assigned the NPI (National Provider Identifier) Number 1235202144 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Michael Gavin Deguzman is physically located?
The Michael Gavin Deguzman is physically situated at the following address: 12712 Heacock St Ste 3, Moreno Valley, CA, 925533037.
What is Michael Gavin Deguzman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Michael Gavin Deguzman is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Michael Gavin Deguzman receive its 1235202144 assignment from the Centers for Medicare & Medicaid Services?
The Michael Gavin Deguzman was assigned its 1235202144 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date were the details pertaining to Michael Gavin Deguzman last refreshed?
The information related to the Michael Gavin Deguzman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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