County Of Riverside- Community Health Agency

NPI 1053302463 - Physician Assistant - 363A00000X

NPI Details
NPI 1053302463
Enumeration Date 11/03/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL MICHAEL
Position DEPUTY DIRECTOR
Phone (760) 778-2210
Fax (760) 778-2214
Practice Location
3111 E TAHQUITZ CANYON WAY
PALM SPRINGS CA, 92262-6956, US
Phone (760) 778-2210
Fax (760) 778-2214
Business Location
PO BOX 7849
RIVERSIDE CA, 92513-7849, US
Phone (951) 358-5222
Fax (951) 358-5235
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA10357
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According to our database, County Of Riverside- Community Health Agency NPI is 1053302463, taxonomy code is 363A00000X and license number is PA10357, license state is located at California. County Of Riverside- Community Health Agency physically located at 3111 E Tahquitz Canyon Way, Palm Springs CA, 92262-6956. NPI Number 1033115704 has the healthcare provider type.

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1053302463 NPI number is provided on an as is basis without warranty of any kind. 1053302463 is maintained by the National Plan & Provider Enumeration System. The contents of County Of Riverside- Community Health Agency are for informational purposes only.