Mcssg Valid NPI

Organization · Surgical Physician Assistant · Glendale, CA

NPI

1295873719

Type

Organization (Type 2)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

PA17404 (CA)

Enumerated

2007-02-05

Last updated

2020-08-22