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MR. LAURO IVAN ARTEAGA PHYSICIAN ASSISTANT
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1083625081
Individual Registrant:MR. LAURO IVAN ARTEAGA PHYSICIAN ASSISTANT
Gender: M
Not Sole Proprietor
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
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
Tel: 626-458-8401 Fax: 626-458-5606
Registration Information:
NPI: 1083625081
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | CA | 13931 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
