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NPI Code Detail

MEDICARE: ROSSLYNN S BYOUS DPA, PAC

MEDICARE: ROSSLYNN S BYOUS DPA, PAC
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 AssistantPA11842CA
2363AM0700XMedical Physician Assistant11842CA

General Provider Information

NPI Number : 1407904329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSSLYNN S BYOUS DPA, PAC
Provider Business Mailing Address
First Line : 3536 CONCOURS
Second Line : SUITE 350
City : ONTARIO
State : CA
Zip : 91764-5585
Country : US
Telephone Number : 909-476-7113
Fax Number : 866-252-0906
Provider Business Practice Location Address
First Line : 9405 FAIRWAY VIEW PL
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-0932
Country : US
Telephone Number : 909-481-7345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 02/09/2026

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Directions to “ ROSSLYNN S BYOUS DPA, PAC” Practice Location

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