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NPI Code Detail

MEDICARE: ANGELICA FAVIOLA FLORES-PIEGDON PA-C

MEDICARE: ANGELICA FAVIOLA FLORES-PIEGDON 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
1363AM0700XMedical Physician Assistant62620CA
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1023721032
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA FAVIOLA FLORES-PIEGDON PA-C
Provider Business Mailing Address
First Line : 1065 BUCKS LAKE RD
Second Line :
City : QUINCY
State : CA
Zip : 95971-9599
Country : US
Telephone Number : 530-283-2121
Fax Number :
Provider Business Practice Location Address
First Line : 1065 BUCKS LAKE RD
Second Line :
City : QUINCY
State : CA
Zip : 95971-9599
Country : US
Telephone Number : 530-283-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2023
Last Update Date : 01/06/2026

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Directions to “ ANGELICA FAVIOLA FLORES-PIEGDON PA-C” Practice Location

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