Eric David Laviaddin PA

NPI 1245546860 - Physician Assistant - 363A00000X

NPI Details
NPI 1245546860
Gender Male
Enumeration Date 08/19/2010
Last Updated 08/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
20800 SHERMAN WAY
WINNETKA CA, 91306-2707, US
Phone (818) 883-2273
Fax
Business Location
8902 WOODMAN AVE
ARLETA CA, 91331-6401, US
Phone (818) 883-2273
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20713
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According to our database, Eric David Laviaddin PA NPI is 1245546860, taxonomy code is 363A00000X and license number is PA20713, license state is located at California. Eric David Laviaddin PA physically located at 20800 Sherman Way, Winnetka CA, 91306-2707. NPI Number Eric David Laviaddin PA has the Individual type.

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1245546860 NPI number is provided on an as is basis without warranty of any kind. 1245546860 is maintained by the National Plan & Provider Enumeration System. The contents of Eric David Laviaddin PA are for informational purposes only.