person
Paul Coriolan, PAC
Medical Physician Assistant in Pasadena, California
NPI 1285686162

Paul Coriolan is a Medical Physician Assistant based in Los Angeles, CA and is specialized in Medical. Paul Coriolan practices in Pasadena, CA and has the professional credentials of PAC. The NPI Number for Paul Coriolan is 1285686162 and holds a License No. PA13933 (California).

The current practice location address for Paul Coriolan is 100 W California Blvd, Pasadena, CA and can be reached out via phone at 626-397-5116 and via fax at 626-397-2981. You can also correspond with Paul Coriolan through the mailing address at P.O. BOX 60259, LOS ANGELES, CA - 90060-0259 (mailing address contact number: 626-447-0296).

Location: 100 W California Blvd, Pasadena, CA, 90060-0259
person
Provider Profile Details
NPI Number
1285686162
Provider Name
Paul Coriolan
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
100 W California Blvd, Pasadena, CA, 90060-0259
Phone Number
626-397-5116
Fax Number
626-397-2981
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA13933 05 CA
institution
Provider Business Practice Location Address Details
Address
100 W California Blvd
City
State
Zip
91105-3010
Phone Number
626-397-5116
Fax Number
626-397-2981
person
Provider Business Mailing Address Details
Address
P.o. Box 60259
City
State
Zip
90060-0259
Phone Number
626-447-0296
Fax Number
626-447-6057
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13933 (California)
Definition
Definition to come...
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