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NPI Code Detail

MEDICARE: MS. BLANCA E CASAS PA

MEDICARE:  MS. BLANCA E CASAS  PA
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 AssistantPA13401CA

General Provider Information

NPI Number : 1649328568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BLANCA E CASAS PA
Provider Business Mailing Address
First Line : 10800 MAGNOLIA AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-3043
Country : US
Telephone Number : 909-353-2000
Fax Number :
Provider Business Practice Location Address
First Line : 36450 INLAND VALLEY DR
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-9583
Country : US
Telephone Number : 909-353-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 12/16/2021

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Directions to “ MS. BLANCA E CASAS PA” Practice Location

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