Roldan, Gustavo Mario

Roldan, Gustavo Mario is an individual health care provider with primary practice located at 3221 Liberty Blvd , South Gate CA 90280-2315. 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. Roldan, Gustavo Mario can be contacted via phone (323) 566-9171.

Contact Information

Primary practice address
3221 Liberty Blvd South Gate CA 90280-2315
Phone: (323) 566-9171
Fax: (323) 566-9178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17277 California

Profile Details

NPI number 1790720381
LBN Legal business name Roldan, Gustavo Mario
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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