Individual provider · Type 1 NPI

Erwin Jesus De Los Santos Gervacio

Medical Physician Assistant · Los Angeles, CA

NPI number 1386531069 Active

Practice location

225 N Mariposa Ave
Los Angeles, CA 90004-4509

Call (213) 736-5441 Map

Mailing address

5233 E Beverly Blvd
East Los Angeles, CA 90022-2020

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1386531069

Erwin Jesus De Los Santos Gervacio's National Provider Identifier is 1386531069, issued on Jun 23, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 23, 2025.