MEDICARE: MR. ERIK DUQUE 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
1	363A00000X	Physician Assistant	59333	CA

General Provider Information

NPI Number	:	1588260780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIK DUQUE PA-C

Provider Business Mailing Address
First Line	:	8194 TORREY GARDENS PL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-4601
Country	:	US
Telephone Number	:	858-382-3002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3863 CLAIREMONT DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-5831
Country	:	US
Telephone Number	:	858-333-4497
Fax Number	:

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

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	06/17/2026

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