Individual
MR. JOSE LUIS SUAREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
969 S SANTA FE AVE STE A, VISTA, CA 92083-6910
(760) 941-7050
(760) 941-7250
Mailing address
969 S SANTA FE AVE STE A, VISTA, CA 92083-6910
(760) 941-7050
(760) 941-7142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17072
CA
Other
Enumeration date
05/31/2005
Last updated
12/11/2019
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