Organization
AL PA CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAETH LOVATO JR. PA (OWNER/PRESIDENT)
(760) 413-7258
Entity
Organization
Contact information
Practice address
47600 VIA MONTESSA, LA QUINTA, CA 92253-2134
(760) 413-7258
Mailing address
47600 VIA MONTESSA, LA QUINTA, CA 92253-2134
(760) 413-7258
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
09/19/2022
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