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Adriana Lucy Baquero

Physician Assistant in Moreno Valley, CA. Individual provider (NPI-1).

NPI number1164330817
StatusActive
Last updated in NPPESOct 13, 2026

Details

NPI
1164330817
Entity type
Individual (NPI-1)
Name
Adriana Lucy Baquero
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2026
Certification date
Oct 13, 2026
Last updated
Oct 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA69087CAYes

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Phone 951-486-4000

Mailing address

2821 S Center St
Santa Ana, CA 92704-6006

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