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Individual

ALBERT HUERTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
23181 VERDUGO DR STE 103A, LAGUNA HILLS, CA 92653-1313
(949) 366-1053
Mailing address
23181 VERDUGO DR STE 103A, LAGUNA HILLS, CA 92653-1313
(949) 366-1053

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19452
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063450625
CA
05
1134146111
CA
05
1285747964
CA
05
1467584987
CA
05
1518078054
CA
05
1891798324
CA
Enumeration date
11/16/2007
Last updated
04/05/2021
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