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NPI Code Detail

MEDICARE: VERONICA VIRAMONTES PA-C

MEDICARE: VERONICA VIRAMONTES 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
1363AM0700XMedical Physician AssistantPA17706CA

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 : 1902833460
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA VIRAMONTES PA-C
Provider Business Mailing Address
First Line : 2149 E WARNER RD STE 102
Second Line :
City : TEMPE
State : AZ
Zip : 85284-3495
Country : US
Telephone Number : 480-393-0309
Fax Number : 480-610-6189
Provider Business Practice Location Address
First Line : 3114 W BEVERLY BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-2217
Country : US
Telephone Number : 323-726-1317
Fax Number : 323-726-3870
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 08/22/2019

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Directions to “ VERONICA VIRAMONTES PA-C” Practice Location

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