Individual
MRS. ELIZABETH MAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9201 WHITTIER BLVD, PICO RIVERA, CA 90660-2450
(562) 908-7588
Mailing address
9201 WHITTIER BLVD, PICO RIVERA, CA 90660-2450
(562) 908-7588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13486
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
10/24/2006
Last updated
03/07/2023
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