Individual
MR. LARRY RACASA ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 E. 2ND ST., CAREONSITE, HEALTH SERVICES, BENICIA, CA 94510
(707) 745-7571
(707) 745-7903
Mailing address
150 SOLANO WAY, CAREONSITE MEDICAL CLINIC AT TESORO, MARTINEZ, CA 94553-1487
(510) 289-3848
(925) 372-0308
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15911
CA
Other
Enumeration date
05/01/2015
Last updated
11/08/2021
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