Abrego, Mario

Abrego, Mario is an individual health care provider with primary practice located at 8225 Long Beach Blvd , South Gate CA 90280-2010. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Abrego, Mario can be contacted via phone (323) 585-2486.

Contact Information

Primary practice address
8225 Long Beach Blvd South Gate CA 90280-2010
Phone: (323) 585-2486
Fax: (323) 585-7455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12832 California

Profile Details

NPI number 1215089040
LBN Legal business name Abrego, Mario
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215089040 NPPES
California MEDICAID PA12832

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