person
Angelica Buenrostro, PA-C
Medical Physician Assistant in Modesto, California
NPI 1720052418

Angelica Buenrostro is a Medical Physician Assistant based in Modesto, CA and is specialized in Medical. Angelica Buenrostro practices in Modesto, CA and has the professional credentials of PA-C. The NPI Number for Angelica Buenrostro is 1720052418 and holds a License No. PA18306 (California).

The current practice location address for Angelica Buenrostro is 609 E Orangeburg Ave Ste 201, Modesto, CA and can be reached out via phone at 209-572-3224 and via fax at 209-572-4528. You can also correspond with Angelica Buenrostro through the mailing address at 609 E ORANGEBURG AVE STE 201, MODESTO, CA - 95350-5512 (mailing address contact number: 209-572-3224).

Location: 609 E Orangeburg Ave Ste 201, Modesto, CA, 95350-5512
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Provider Profile Details
NPI Number
1720052418
Provider Name
Angelica Buenrostro
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
609 E Orangeburg Ave Ste 201, Modesto, CA, 95350-5512
Phone Number
209-572-3224
Fax Number
209-572-4528
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1068658 01 CA NCCPA CERTIFICATION
PA18306 01 CA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
609 E Orangeburg Ave Ste 201
City
State
Zip
95350
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider Business Mailing Address Details
Address
609 E Orangeburg Ave Ste 201
City
State
Zip
95350
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA18306 (California)
Definition
Definition to come...
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