Provider Demographics
NPI:1730195728
Name:DORIGUZZI, DAVID MICHAEL (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MICHAEL
Last Name:DORIGUZZI
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:44725 10TH ST W
Mailing Address - Street 2:STE 170
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3000
Mailing Address - Country:US
Mailing Address - Phone:661-948-6011
Mailing Address - Fax:661-723-7999
Practice Address - Street 1:44725 10TH ST W
Practice Address - Street 2:STE 210
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3033
Practice Address - Country:US
Practice Address - Phone:661-948-6011
Practice Address - Fax:661-949-8686
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA16586363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P71633Medicare UPIN