Individual
MR. CARLOS MIGUEL LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 PASEO CAMARILLO, CAMARILLO, CA 93010-6073
(805) 484-8558
(805) 484-3099
Mailing address
1100 PASEO CAMARILLO, CAMARILLO, CA 93010
(805) 484-8558
(805) 484-3099
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51253
CA
Other
Enumeration date
10/28/2013
Last updated
08/11/2022
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