Individual provider · Type 1 NPI
Miguel A. Peralta Sr., PA-C
Surgical Physician Assistant · Burbank, CA
NPI number
1619196474
Active
Practice location
2625 W Alameda Ave, #116
Burbank, CA 91505-4806
Fax (818) 841-5974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 19101 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1619196474
Miguel A. Peralta Sr., PA-C's National Provider Identifier is 1619196474, issued on Apr 24, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Burbank, CA. The record was last updated on Dec 6, 2021.