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Virginia Mabasa, PA
Medical Physician Assistant in Pasadena, California
NPI 1922082924

Virginia Mabasa is a Medical Physician Assistant based in Los Angeles, CA and is specialized in Medical. Virginia Mabasa practices in Pasadena, CA and has the professional credentials of PA. The NPI Number for Virginia Mabasa is 1922082924 and holds a License No. PA16259 (California).

The current practice location address for Virginia Mabasa is 1017 S Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-403-6200.

Location: 1017 S Fair Oaks Ave, Pasadena, CA, 90074-0475
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922082924
Provider Name
Virginia Mabasa
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1017 S Fair Oaks Ave, Pasadena, CA, 90074-0475
Phone Number
626-403-6200
Fax Number
Provider Enumeration Date
12/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA16259 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
1017 S Fair Oaks Ave
City
Pasadena
State
California
Zip
91105-2621
Phone Number
626-403-6200
Fax Number
person
Provider Business Mailing Address Details
Address
1017 S Fair Oaks Ave
City
Pasadena
State
California
Zip
91105-2621
Phone Number
626-403-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA16259 (California)
Definition
Definition to come...
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