Individual
MR. ASTRA MELITANTE JACOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2525 GRAND AVE STE 183, LONG BEACH, CA 90815-1765
(562) 570-4053
(562) 570-4350
Mailing address
2525 GRAND AVE STE 183, LONG BEACH, CA 90815-1765
(562) 570-4053
(562) 570-4350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60187
CA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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