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Eliseo Ayala, PA C

Physician Assistant in South Gate, CA. Individual provider (NPI-1).

NPI number1992812283
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1992812283
Entity type
Individual (NPI-1)
Name
Eliseo Ayala
Credential
PA C
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPa17268CAYes

Practice location

8225 Long Beach Blvd
South Gate, CA 90280

Phone 323-585-1056 · Fax 323-587-1671

Mailing address

6127 Fishburn Ave
Huntington Park, CA 90255

Phone 323-771-4689 · Fax 323-771-4689

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Other Physician Assistant providers in South Gate, CA

All 16 Physician Assistant providers in South Gate · All 695 providers in South Gate

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