MEDICARE: WARDA HARCHAOUI

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1558245688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WARDA HARCHAOUI

Provider Business Mailing Address
First Line	:	567 ROLLING OAK CT
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	542 MAIN STREET
Second Line	:
City	:	VACAVILLE
State	:	CA
Zip	:	95688
Country	:	US
Telephone Number	:	707-358-2928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	02/08/2026

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Directions to “ WARDA HARCHAOUI ” Practice Location

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