Individual
GAETH ANDREW LOVATO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
47600 VIA MONTESSA, LA QUINTA, CA 92253-2134
(760) 413-7258
Mailing address
47600 VIA MONTESSA, LA QUINTA, CA 92253-2134
(760) 413-7258
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA17005
CA
363AS0400X
Surgical Physician Assistant
17005
CA
363AS0400X
Surgical Physician Assistant
Primary
PA17005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17005
CA LICENSE #
CA
Enumeration date
09/25/2006
Last updated
09/19/2022
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