Organization · Type 2 NPI
Santa Maria Clinica Familiar Inc
Medical Physician Assistant · La Habra, CA
NPI number
1093028896
Active
Practice location
308 N Harbor Blvd
La Habra, CA 90631-4847
Fax (562) 266-3036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | A105315 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | PA12479 (CA) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1093028896
Santa Maria Clinica Familiar Inc's National Provider Identifier is 1093028896, issued on Jul 21, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in La Habra, CA. The record was last updated on Mar 15, 2011.