Individual provider · Type 1 NPI

Carmen Alicia Queral, P.A.-C.

Medical Physician Assistant · Los Angeles, CA

NPI number 1609051192 Active

Practice location

11301 Wilshire Blvd., Dept. Of Va--Greater Los Angeles Healthcare System
Los Angeles, CA 90073

Mailing address

7225 Crescent Park W, Apt 239
Playa Vista, CA 90094-2724

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 11484 (CA)
Medical Physician Assistant 363AM0700XPA 910903 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1609051192

Carmen Alicia Queral, P.A.-C.'s National Provider Identifier is 1609051192, issued on Jan 3, 2008. 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 May 19, 2016.