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Jorge A Erazo
Multi-Specialty Clinic/Center in West Covina, California
NPI 1679123061

Jorge A Erazo is a Multi-Specialty Clinic/Center based in West Covina, CA and is specialized in Multi-Specialty. Jorge A Erazo practices in West Covina, CA. The NPI Number for Jorge A Erazo is 1679123061 and holds a License No. (California).

The current practice location address for Jorge A Erazo is 1535 W Merced Ave Ste 104, West Covina, CA and can be reached out via phone at 626-337-7087 and via fax at 626-337-7089.

Location: 1535 W Merced Ave Ste 104, West Covina, CA, 91790-3404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679123061
Provider Name
Jorge A Erazo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1535 W Merced Ave Ste 104, West Covina, CA, 91790-3404
Phone Number
626-337-7087
Fax Number
626-337-7089
Provider Enumeration Date
09/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1535 W Merced Ave Ste 104
City
West Covina
State
California
Zip
91790-3404
Phone Number
626-337-7087
Fax Number
626-337-7089
person
Provider Business Mailing Address Details
Address
1535 W Merced Ave Ste 104
City
West Covina
State
California
Zip
91790-3404
Phone Number
626-337-7087
Fax Number
626-337-7089
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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