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Physician Assistant

NPI: 1144973298IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2022

Contact & Hours

Address: 11600 INDIAN HILLS RD, SUITE 200
MISSION HILLS, CA 91345
Phone: (818) 838-4500

Quick Facts

NPI: 1144973298
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 4

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