Provider Demographics
NPI:1083259386
Name:JUNIO, VIRGIL CHRISTOPHER II (PA)
Entity Type:Individual
Prefix:
First Name:VIRGIL
Middle Name:CHRISTOPHER
Last Name:JUNIO
Suffix:II
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19735 COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-4824
Mailing Address - Country:US
Mailing Address - Phone:661-373-0786
Mailing Address - Fax:
Practice Address - Street 1:19735 COLLINS RD
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-4824
Practice Address - Country:US
Practice Address - Phone:661-373-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-10
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X
CA57701363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant