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Individual

PABLITO A TANCINCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1711 W TEMPLE ST, SUITE 4689, LOS ANGELES, CA 90026-5421
(213) 413-2280
Mailing address
1711 W TEMPLE ST, SUITE 4689, LOS ANGELES, CA 90026-5421

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
00C426610
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C426610
CA
Enumeration date
10/11/2006
Last updated
04/16/2013
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