Organization
PHYSICIAN ASSISTANT SPECIALISTS-CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BULGER (PRESIDENT)
(855) 727-2251
Entity
Organization
Contact information
Practice address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(855) 727-2251
(855) 727-2251
Mailing address
PO BOX 101898, PASADENA, CA 91189-2804
(855) 727-2251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
10/03/2023
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