MS. DOROTY O.D.S. DEVALON


Address: 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505
Phone: 4249037007

MS. DOROTY O.D.S. DEVALON (NPI# 1629544234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629544234
Entity Type Individual
Full Name MS. DOROTY O.D.S. DEVALON
Credential PA-C
Practice Address 23530 Hawthorne Boulevard Building 1
Suite 290
Torrance
CA 90505
Practice Telephone 4249037007
Practice Fax Number 4249037009
Mailing Telephone 4249037007
Mailing Fax Number 4249037009
Enumeration Date 2018-10-22
Last Update Date 2019-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 55795 CA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 23530 HAWTHORNE BOULEVARD BUILDING 1
SUITE 290
City TORRANCE
State CA
Zip Code 90505

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NPI Name Taxonomy Address Enumeration
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1023507324 Robert De Leon Physician Assistant 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 2018-05-02
1376052274 Regents of The University of California Durable Medical Equipment & Medical Supplies 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 2017-09-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326674854 Karissa Tran Sharifian Physician Assistant 16818 Ainsworth Ave, Torrance, CA 90504-1239 2020-03-16
1861024671 Agnes Leung Physician Assistant 4330 W 176th St, Torrance, CA 90504-3128 2020-02-10
1649802349 Christine Tran Physician Assistant 2780 Skypark Dr Ste 115, Torrance, CA 90505-5342 2020-02-10
1770121014 Michael Kerry Mills Physician Assistant 1524 W 215th St, Torrance, CA 90501-3026 2019-12-17
1760947543 Ariel S. Blumenstrauch Physician Assistant 4201 Torrance Blvd Ste 640, Torrance, CA 90503-4524 2019-02-05
1881166767 Dhithya Ramaswamy Physician Assistant 4152 Spencer St, Torrance, CA 90503-2420 2018-12-17
1588131254 Lisa Iwasaki Physician Assistant 4201 Torrance Blvd Ste 340, Torrance, CA 90503-4514 2018-10-30
1407337140 Chinwe J Thomas Physician Assistant 20829 Anza Ave Apt 322, Torrance, CA 90503-4293 2018-08-21
1023507324 Robert De Leon Physician Assistant 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 2018-05-02
1831648518 Christine Kubeck Physician Assistant 3445 PCh Suite 200, Torrance, CA 90506 2016-09-23
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Competitor

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City TORRANCE
Zip Code 90505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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