Individual provider · Type 1 NPI

Anna Catalina Manalaysay Bravo-Custodio, PAC

Physician Assistant · Upland, CA

NPI number 1649864455 Active

Practice location

1310 San Bernardino Rd Ste 102
Upland, CA 91786-4985

Call (909) 608-2008 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA59364 (CA)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649864455

Anna Catalina Manalaysay Bravo-Custodio, PAC's National Provider Identifier is 1649864455, issued on Feb 22, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Upland, CA. The record was last updated on Oct 25, 2023.