Provider Demographics
NPI:1598307274
Name:DURAN, ADRIANA (MSPAS, PA-C)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:DURAN
Suffix:
Gender:
Credentials:MSPAS, PA-C
Other - Prefix:
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:ROMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3634 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2506
Mailing Address - Country:US
Mailing Address - Phone:951-788-0008
Mailing Address - Fax:951-221-5410
Practice Address - Street 1:3634 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2506
Practice Address - Country:US
Practice Address - Phone:951-788-0008
Practice Address - Fax:951-221-5410
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA57271363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant