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Mr. Alex E Detrana, PA
Medical Physician Assistant in Lancaster, California
NPI 1568549970

Alex E Detrana is a Medical Physician Assistant based in Westminster, CA and is specialized in Medical. Alex E Detrana practices in Lancaster, CA and has the professional credentials of PA. The NPI Number for Alex E Detrana is 1568549970 and holds a License No. PA18447 (California).

The current practice location address for Alex E Detrana is 1600 W Avenue J, Lancaster, CA and can be reached out via phone at 661-949-5000.

Location: 1600 W Avenue J, Lancaster, CA, 92685-2380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568549970
Provider Name
Alex E Detrana
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1600 W Avenue J, Lancaster, CA, 92685-2380
Phone Number
661-949-5000
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA18447 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1600 W Avenue J
City
Lancaster
State
California
Zip
93534-2814
Phone Number
661-949-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Avenue J
City
Lancaster
State
California
Zip
93534-2814
Phone Number
661-949-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18447 (California)
Definition
Definition to come...
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