Individual
AIRA MARIE BALMACEDA GUSILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9001 WILSHIRE BLVD STE 202, BEVERLY HILLS, CA 90211-1841
(310) 860-9502
Mailing address
24140 MIDVALE CT, CORONA, CA 92883-3611
(619) 215-6019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65091
CA
Other
Enumeration date
09/20/2024
Last updated
10/17/2024
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