Individual
GUSTAVO TOSHIO ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3942 MAINE AVE, BALDWIN PARK, CA 91706-4220
(626) 678-9296
(626) 678-9294
Mailing address
3942 MAINE AVE, BALDWIN PARK, CA 91706-4220
(626) 678-9296
(626) 678-9294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 19149
CA
Other
Enumeration date
05/23/2007
Last updated
09/18/2019
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