Individual
MR. EPHRAIM LITONJUA SANMIGUEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C
Contact information
Practice address
2295 S VINEYARD AVE, BLDG A PRIMARY CARE 2ND FLOOR, ONTARIO, CA 91761-7925
(888) 750-0036
(909) 264-2266
Mailing address
2295 S VINEYARD AVE, BLDG A PRIMARY CARE 2ND FLOOR, ONTARIO, CA 91761-7925
(888) 750-0036
(909) 264-2266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13252
MED LIC NUMBER
CA
Enumeration date
04/25/2007
Last updated
11/30/2021
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