Individual
ALVARO PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1149 W 190TH ST, SUITE 2300, GARDENA, CA 90248-4321
(310) 324-3068
Mailing address
808 E DESFORD ST, CARSON, CA 90745-2234
(310) 922-7112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10312
CA
Other
Enumeration date
01/08/2007
Last updated
05/10/2015
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