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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOUDONG KEOVILAY, PA-C

Active

PHOUDONG KEOVILAY, PA-C is a Physician Assistant healthcare provider located in APPLE VALLEY, California. NPI 1790330850 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · APPLE VALLEY, CA

Registration Details

NPI Number
1790330850
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2019 (7.0083970710737 yrs)
Last Updated
May 5, 2022

Practice Information

Address
18300 CA-18 1ST FLOOR
APPLE VALLEY, CA, 92307
Browse CA providers · Browse ZIP 92307
Phone
7602422311
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in APPLE VALLEY, CA

Name Credential NPI
AMBER SINGLETARY PA-C 1730139601
RICHARD ROBERT DECKER P.A-C 1083658975
CHERI LYNN LAWLER P.A-C 1174567978
CRAIG ALAN WOOD P.A-C 1003850447
MS. CAROL LAM P.A.-C. 1669575957
MICHAEL D JASSO PA 1356404305
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.