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Gaeth Andrew Lovato JR., PA
Surgical Physician Assistant in La Quinta, California
NPI 1730280710

Gaeth Andrew Lovato JR. is a Surgical Physician Assistant based in La Quinta, CA and is specialized in Surgical. Gaeth Andrew Lovato JR. practices in La Quinta, CA and has the professional credentials of PA. The NPI Number for Gaeth Andrew Lovato JR. is 1730280710 and holds a License No. PA17005 (California).

The current practice location address for Gaeth Andrew Lovato JR. is 47600 Via Montessa, La Quinta, CA and can be reached out via phone at 760-413-7258.

Location: 47600 Via Montessa, La Quinta, CA, 92253-2134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730280710
Provider Name
Gaeth Andrew Lovato JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
47600 Via Montessa, La Quinta, CA, 92253-2134
Phone Number
760-413-7258
Fax Number
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA17005 01 CA CA LICENSE #
institution
Provider Business Practice Location Address Details
Address
47600 Via Montessa
City
La Quinta
State
California
Zip
92253-2134
Phone Number
760-413-7258
Fax Number
person
Provider Business Mailing Address Details
Address
47600 Via Montessa
City
La Quinta
State
California
Zip
92253-2134
Phone Number
760-413-7258
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
17005 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA17005 (California)
Definition
Definition to come...
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