Individual provider · Type 1 NPI

Michael Gavin Deguzman, PA-C

Medical Physician Assistant · Moreno Valley, CA

NPI number 1235202144 Active

Practice location

12712 Heacock St Ste 3
Moreno Valley, CA 92553-3037

Fax (951) 601-9263

Mailing address

PO Box 4434
Rancho Cucamonga, CA 91729-4434

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 14892 (CA)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1235202144

Michael Gavin Deguzman, PA-C's National Provider Identifier is 1235202144, issued on Nov 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 8, 2007.