Provider Demographics
NPI:1275979742
Name:OROPEZA, MICHELLE A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:OROPEZA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10883 ASTER LN
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-3609
Mailing Address - Country:US
Mailing Address - Phone:760-946-2243
Mailing Address - Fax:760-946-0348
Practice Address - Street 1:18112 OUTER HWY 18
Practice Address - Street 2:SUITE 101
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2211
Practice Address - Country:US
Practice Address - Phone:760-946-2243
Practice Address - Fax:760-946-0348
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA22952363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical