Individual
ERNEST ESTRADA VII
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
501 S BUENA VISTA ST, EM DEPT., BURBANK, CA 91505-4809
(818) 843-5111
(405) 749-4561
Mailing address
PO BOX 861477, LOS ANGELES, CA 90086-1477
(800) 749-4560
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019034
NCCPA
—
05
—
PA12318
—
CA
Enumeration date
06/07/2006
Last updated
03/07/2023
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