Michael A Davalos, PA, MS
Physician Assistant in Wildomar, CA. Individual provider (NPI-1).
NPI number1285641902
StatusActive
Last updated in NPPESOct 29, 2007
Details
- NPI
- 1285641902
- Entity type
- Individual (NPI-1)
- Name
- Michael A Davalos
- Credential
- PA, MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- Oct 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA17328 | CA | Yes |
Practice location
36243 Inland Valley DrSte 180
Wildomar, CA 92595
Phone 951-600-0110 · Fax 951-600-4645
Mailing address
36243 Inland Valley DrSte 180
Wildomar, CA 92595
Phone 951-600-0110 · Fax 951-600-4645
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All 17 Physician Assistant providers in Wildomar · All 1,076 providers in Wildomar
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