Provider Demographics
NPI:1477923373
Name:D'ELIA-VERROCCHI, AURORA (PA-C)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:D'ELIA-VERROCCHI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2185 CITRACADO PARKWAY
Mailing Address - Street 2:
Mailing Address - City:ESCANDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029
Mailing Address - Country:US
Mailing Address - Phone:442-281-4047
Mailing Address - Fax:760-488-0194
Practice Address - Street 1:2185 CITRACADO PARKWAY
Practice Address - Street 2:
Practice Address - City:ESCANDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029
Practice Address - Country:US
Practice Address - Phone:442-281-4047
Practice Address - Fax:760-488-0194
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA5455363AM0700X
CAPA55274363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical