Leticia Keusayan Gonzalez in Cudahy - Physician Assistant
Leticia Keusayan Gonzalez - NPI 1316161664
Leticia Keusayan Gonzalez is a Physician Assistant in Cudahy, California. Leticia Keusayan Gonzalez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leticia Keusayan Gonzalez is 1316161664. The last update date is 2019-01-29.
Leticia Keusayan Gonzalez's current location address is 7643 Atlantic Ave, Cudahy, California. You can contact this provider via phone number 3237711713 and fax number 3235621302. The mailing address for Leticia Keusayan Gonzalez is 7643 Atlantic Ave, Cudahy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leticia Keusayan Gonzalez |
|---|---|
| Address | 7643 Atlantic Ave, Cudahy, California |
| Phone Number | 3237711713 |
| Fax Number | 3235621302 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316161664 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2019-01-29 |
Provider Mailing Address Detail
| Address | 7643 Atlantic Ave |
|---|---|
| City | Cudahy |
| State | California (CA) |
| Post Code | 902015019 |
| Phone Number | 3237711713 |
| Fax Number | 3235621302 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA14033 |
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Definition: 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 perfor |
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What is the unique 10-digit identifier code issued to Leticia Keusayan Gonzalez by the Centers for Medicare & Medicaid Services?
The Leticia Keusayan Gonzalez has been assigned the NPI (National Provider Identifier) 1316161664 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Leticia Keusayan Gonzalez?
The Leticia Keusayan Gonzalez is situated at 7643 Atlantic Ave, in the city of Cudahy, state of CA, with the zip code 902015019.
What is Leticia Keusayan Gonzalez's area of expertise and its corresponding taxonomy classification?
The Leticia Keusayan Gonzalez's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1316161664 to Leticia Keusayan Gonzalez?
The Centers for Medicare & Medicaid Services assigned the 1316161664 to Leticia Keusayan Gonzalez on 2007-04-11.
As of what date were the Leticia Keusayan Gonzalez's details last updated?
The information pertaining to the Leticia Keusayan Gonzalez, including its address, specialty, and other details, was most recently updated on 2019-01-29.
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