person
Mr. Larry Racasa Angel, PA-C
Medical Physician Assistant in Benicia, California
NPI 1154708881

Larry Racasa Angel is a Medical Physician Assistant based in Martinez, CA and is specialized in Medical. Larry Racasa Angel practices in Benicia, CA and has the professional credentials of PA-C. The NPI Number for Larry Racasa Angel is 1154708881 and holds a License No. PA15911 (California).

The current practice location address for Larry Racasa Angel is 3400 E. 2Nd St., Benicia, CA and can be reached out via phone at 707-745-7571 and via fax at 707-745-7903.

Location: 3400 E. 2Nd St., Benicia, CA, 94553-1487
person
Provider Profile Details
NPI Number
1154708881
Provider Name
Larry Racasa Angel
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3400 E. 2Nd St., Benicia, CA, 94553-1487
Phone Number
707-745-7571
Fax Number
707-745-7903
Provider Enumeration Date
05/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 E. 2Nd St.
City
State
Zip
94510
Phone Number
707-745-7571
Fax Number
707-745-7903
person
Provider Business Mailing Address Details
Address
3400 E. 2Nd St.
City
State
Zip
94510
Phone Number
707-745-7571
Fax Number
707-745-7903
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA15911 (California)
Definition
Definition to come...
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