Individual
CLARISSA LECHUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5101 FLORENCE AVE STE 4, BELL, CA 90201-3801
(323) 797-2635
(323) 560-3374
Mailing address
16608 STOWERS AVE, CERRITOS, CA 90703-1414
(562) 665-6093
(323) 560-3374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083735203
—
CA
Enumeration date
11/26/2019
Last updated
11/26/2019
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