-- MITRA ANSARI -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1396999777- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 7392 MAGNOLIA AVE, RIVERSIDE, CA, 925043808
- Phone
- (951) 352-3330
Specialties & Taxonomies
Physician Assistant
Primary License: CA #PA16750