Individual
MR. HENRY D MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
26821 MAGDALENA LN, MISSION VIEJO, CA 92691-6223
(714) 801-5614
Mailing address
26821 MAGDALENA LN, MISSION VIEJO, CA 92691-6223
(714) 801-5614
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16828
CA
Other
Enumeration date
07/07/2006
Last updated
09/06/2023
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