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COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Organization (NPI-2) Active

Physician Assistant

Provider Information

NPI Number
1528162229
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
7601 IMPERIAL HWY, DOWNEY, CA, 902423456
Phone
(562) 803-0124
Fax
(562) 803-5569

Specialties & Taxonomies

Nurse Anesthetist, Certified Registered
Physician Assistant Primary

All Addresses

MAILING

PO BOX 514316 TERMINAL ANNEX

LOS ANGELES, CA, 900512316

(562) 803-0124

LOCATION

7601 IMPERIAL HWY

DOWNEY, CA, 902423456

(562) 803-0124