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NPI Code Detail

MEDICARE: EVA JUDITH SKULSKY P.A., M.P.A.S.

MEDICARE: EVA JUDITH SKULSKY P.A., M.P.A.S.
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 AssistantPA17593CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841536208
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA JUDITH SKULSKY P.A., M.P.A.S.
Provider Business Mailing Address
First Line : 3923 WARING RD STE A
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-4499
Country : US
Telephone Number : 760-727-8782
Fax Number : 760-842-7801
Provider Business Practice Location Address
First Line : 3923 WARING RD STE A
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-4499
Country : US
Telephone Number : 760-727-8782
Fax Number : 760-842-7801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2012
Last Update Date : 02/25/2021

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