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Miss Maria Guadalupe Maldonado, PA
Medical Physician Assistant in Los Angeles, California
NPI 1861577488

Maria Guadalupe Maldonado is a Medical Physician Assistant based in Pasadena, CA and is specialized in Medical. Maria Guadalupe Maldonado practices in Los Angeles, CA and has the professional credentials of PA. The NPI Number for Maria Guadalupe Maldonado is 1861577488 and holds a License No. PA18520 (California).

The current practice location address for Maria Guadalupe Maldonado is 1200 N State St Rm 1011, Los Angeles, CA and can be reached out via phone at 323-409-6715.

Location: 1200 N State St Rm 1011, Los Angeles, CA, 91107-2916
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Provider Profile Details
NPI Number
1861577488
Provider Name
Maria Guadalupe Maldonado
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1200 N State St Rm 1011, Los Angeles, CA, 91107-2916
Phone Number
323-409-6715
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70768F 05 CA
W14338 01 CA MEDICARE CHAP PTAN
HAP70768F 05 CA
EAP70768F 05 CA
95314536824 01 CA TIN
1871689315 05 CA
PA18520 01 CA CA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
1200 N State St Rm 1011
City
State
Zip
90033-1029
Phone Number
323-409-6715
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N State St Rm 1011
City
State
Zip
90033-1029
Phone Number
323-409-6715
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA18520 (California)
Definition
Definition to come...
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