Individual
MR. MARLO A HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
5823 YORK BLVD, #1, LOS ANGELES, CA 90042-2634
(323) 255-1575
(323) 255-8139
Mailing address
5823 YORK BLVD, #1, LOS ANGELES, CA 90042-2634
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19183
PA LICENSE
CA
Enumeration date
07/12/2007
Last updated
11/17/2007
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