Crespin Rodriguez PA

NPI 1053470799 - Physician Assistant - 363A00000X

NPI Details
NPI 1053470799
Gender Male
Enumeration Date 12/08/2006
Last Updated 02/19/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
13652 CANTARA ST
PANORAMA CITY CA, 91402-5423, US
Phone (818) 375-1690
Fax
Business Location
13651 WILLARD STREET
PANORAMA CITY CA, 91402-5423, US
Phone (818) 375-1690
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA21079
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According to our database, Crespin Rodriguez PA NPI is 1053470799, taxonomy code is 363A00000X and license number is PA21079, license state is located at California. Crespin Rodriguez PA physically located at 13652 Cantara St, Panorama City CA, 91402-5423. NPI Number Crespin Rodriguez PA has the Individual type.

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1053470799 NPI number is provided on an as is basis without warranty of any kind. 1053470799 is maintained by the National Plan & Provider Enumeration System. The contents of Crespin Rodriguez PA are for informational purposes only.