institution
Robert A. Devereaux, M.d., Inc.
Primary Care Clinic/Center in Fountain Valley, California
NPI 1538344189

Robert A. Devereaux, M.d., Inc. is a Primary Care Clinic/Center based in Fountain Valley, CA and is specialized in Primary Care. Robert A. Devereaux, M.d., Inc. practices in Fountain Valley, CA. The NPI Number for Robert A. Devereaux, M.d., Inc. is 1538344189 and holds a License No. A31475 (California).

The current practice location address for Robert A. Devereaux, M.d., Inc. is 11100 Warner Ave, Fountain Valley, CA and can be reached out via phone at 714-957-9389 and via fax at 714-957-0144.

Location: 11100 Warner Ave, Fountain Valley, CA, 92708-7506
institution
Provider Profile Details
NPI Number
1538344189
Provider Name
Robert A. Devereaux, M.d., Inc.
Credential
Provider Entity Type
Organization
Address
11100 Warner Ave, Fountain Valley, CA, 92708-7506
Phone Number
714-957-9389
Fax Number
714-957-0144
Provider Enumeration Date
01/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A314750 05 CA
institution
Provider Business Practice Location Address Details
Address
11100 Warner Ave
City
State
Zip
92708-7506
Phone Number
714-957-9389
Fax Number
714-957-0144
person
Provider Business Mailing Address Details
Address
11100 Warner Ave
City
State
Zip
92708-7506
Phone Number
714-957-9389
Fax Number
714-957-0144
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A31475 (California)
Definition
Definition to come...
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