Maritza Oliva Fuentes, MA
Physician Assistant, Medical in Lancaster, CA. Individual provider (NPI-1).
NPI number1982502837
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1982502837
- Entity type
- Individual (NPI-1)
- Name
- Maritza Oliva Fuentes
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2026
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
44505 90th St W Bldg BLancaster, CA 93536-7705
Phone 661-726-2630
Mailing address
44505 90th St W Bldg BLancaster, CA 93536-7705
Phone 661-726-2630
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