Organization Name: | PHYSICIAN ASSISTANT HOUSE CALLS INC |
NPI Number: | 1073827341 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN RICHARDSON (CEO) |
Mailing Address: | 151 N Kraemer Blvd Ste 100 Placentia |
State: | CA US |
Postal Code: | 928705002 |
Phone Number: | 8889294198 |
Fax Number: | 5627908114 |
NPI Enumeration Date: | 07/29/2010 |
NPI Last Update Date: | 07/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | A280173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |