Deguzman, Michael Gavin

Deguzman, Michael Gavin is an individual health care provider with primary practice located at 12712 Heacock St Ste 3 , Moreno Valley CA 92553-3037. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Deguzman, Michael Gavin can be contacted via phone (951) 601-6802.

Contact Information

Primary practice address
12712 Heacock St Ste 3 Moreno Valley CA 92553-3037
Phone: (951) 601-6802
Fax: (951) 601-9263
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 14892 California

Profile Details

NPI number 1235202144
LBN Legal business name Deguzman, Michael Gavin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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