Individual
LUIGI JUNCAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-9820
Mailing address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 301-8709
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA159790
MEDICAL PPIN #
CA
Enumeration date
08/10/2006
Last updated
12/08/2021
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