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NPI Code Detail

MEDICARE: MRS. ALLISON CLAASSEN MS, PA-C

MEDICARE: MRS. ALLISON CLAASSEN MS, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA-17052CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA-17052OTHERCACA LIC #

General Provider Information

NPI Number : 1053349662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON CLAASSEN MS, PA-C
Provider Business Mailing Address
First Line : 4310 ORANGE ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3829
Country : US
Telephone Number : 951-781-6335
Fax Number : 951-208-7244
Provider Business Practice Location Address
First Line : 4310 ORANGE ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3829
Country : US
Telephone Number : 951-781-6335
Fax Number : 951-208-7244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 03/07/2023

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Directions to “ MRS. ALLISON CLAASSEN MS, PA-C” Practice Location

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