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Individual
JOSE CORONADO
Active
Individual
JOSE CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP10959
TERM NP
—
Enumeration date
06/21/2006
Last updated
08/29/2025
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