Individual
GIZI MERASI MALAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADAPT PE SPECIALIST
Contact information
Practice address
11331 183RD ST # 1055, CERRITOS, CA 90703-5434
(323) 979-6118
Mailing address
11331 183RD ST # 1055, CERRITOS, CA 90703-5434
(323) 979-6118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
240032235
CA
174H00000X
Health Educator
240014603
CA
Other
Enumeration date
12/09/2024
Last updated
12/13/2024
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