Individual
LUIS MERCADO
Active
Individual
LUIS MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
PA56630
CA
363AM0700X
Medical Physician Assistant
Primary
PA56630
CA
Other
Enumeration date
10/18/2018
Last updated
01/21/2025
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