Individual
CARMEN V. AYROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11748 MAGNOLIA AVE #D, RIVERSIDE, CA 92503-4955
(951) 358-0141
(951) 358-0156
Mailing address
200 OCEANGATE #100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A31337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A313370
MEDI CAL
CA
05
—
00A31370
—
CA
Enumeration date
06/11/2006
Last updated
08/20/2008
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