Individual
MR. ANTONIO ZAMBOANGA LUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2951 FULTON AVE, SACRAMENTO, CA 95821-4909
(916) 486-7555
(916) 486-7557
Mailing address
2951 FULTON AVE, SACRAMENTO, CA 95821-4909
(916) 486-7555
(916) 486-7557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10062
MEDICAL LICENSE
CA
Enumeration date
01/09/2006
Last updated
09/28/2022
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