Provider Demographics
NPI:1740623685
Name:DORSEY, IRISH DAWN AGUILAR (PA-C)
Entity type:Individual
Prefix:MISS
First Name:IRISH DAWN
Middle Name:AGUILAR
Last Name:DORSEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1280 S VICTORIA AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-6521
Mailing Address - Country:US
Mailing Address - Phone:805-351-0745
Mailing Address - Fax:805-288-6744
Practice Address - Street 1:1280 S. VICTORIA AVENUE #250
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6521
Practice Address - Country:US
Practice Address - Phone:805-351-0745
Practice Address - Fax:805-288-6744
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2024-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA23107363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant