Basic Information
| Provider Information | |||||||||
| NPI: | 1477923373 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | D'ELIA-VERROCCHI | ||||||||
| FirstName: | AURORA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2185 CITRACADO PARKWAY | ||||||||
| Address2: | |||||||||
| City: | ESCANDIDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4422814047 | ||||||||
| FaxNumber: | 7604880194 | ||||||||
| Practice Location | |||||||||
| Address1: | 2185 CITRACADO PARKWAY | ||||||||
| Address2: | |||||||||
| City: | ESCANDIDO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4422814047 | ||||||||
| FaxNumber: | 7604880194 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2015 | ||||||||
| LastUpdateDate: | 06/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA5455 | MA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | 363A00000X | PA55274 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.