Individual provider · Type 1 NPI

Laura Monica Manosalva Vargas, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1063078897 Active

Practice location

11301 Wilshire Blvd, BLDG.500, Nsgy Suite 6664
Los Angeles, CA 90073

Call (310) 478-3711 Map

Mailing address

4175 W Broadway Apt C
Hawthorne, CA 90250-4097

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X56793 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1063078897

Laura Monica Manosalva Vargas, PA-C's National Provider Identifier is 1063078897, issued on May 16, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 28, 2020.