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MR. LAURO IVAN ARTEAGA PHYSICIAN ASSISTANT

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1083625081

Individual Registrant:
MR. LAURO IVAN ARTEAGA PHYSICIAN ASSISTANT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
941 S ATLANTIC BLVD SUITE 101 MONTEREY PARK, CA 91754-4722 US
Tel: 626-458-8401  Fax: 626-458-5606

Contact information for business:
941 S ATLANTIC BLVD SUITE 101 MONTEREY PARK, CA 91754-4722 US
Tel: 626-458-8401  Fax: 626-458-5606

Registration Information:
NPI: 1083625081
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA13931

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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