Provider Demographics
NPI:1871718585
Name:ZUNIGA, AMILCAR (PA-C)
Entity type:Individual
Prefix:
First Name:AMILCAR
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16460 VICTOR ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3918
Mailing Address - Country:US
Mailing Address - Phone:760-245-6925
Mailing Address - Fax:760-561-5727
Practice Address - Street 1:16460 VICTOR ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3918
Practice Address - Country:US
Practice Address - Phone:760-245-6925
Practice Address - Fax:760-561-5727
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA15095363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant