Luis Mauro Regalado Jr.
Public Health or Welfare in Merced, CA. Individual provider (NPI-1).
NPI number1649986704
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1649986704
- Entity type
- Individual (NPI-1)
- Name
- Luis Mauro Regalado Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2023
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251K00000X | Public Health or Welfare | – | – | Yes |
Practice location
260 E 15th StMerced, CA 95341-6216
Phone 209-381-1057
Mailing address
260 E 15th StMerced, CA 95341-6216
Phone 209-381-1057
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