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Individual

MR. ALAN E ACEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
632 W GIBSON RD, WOODLAND, CA 95695
(530) 666-1631
(530) 668-6463
Mailing address
632 W GIBSON RD, WOODLAND, CA 95776
(530) 666-1631

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA012210
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00166676
RR MEDICARE
CA
01
PA12210
MEDI-CAL
CA
Enumeration date
07/10/2006
Last updated
03/30/2010
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