Organization
FELICIANO NAVALTA JR., M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIANO SISON NAVALTA JR. M.D. (PHYSICAN)
(562) 633-1404
Entity
Organization
Contact information
Practice address
16660 PARAMOUNT BLVD, SUITE 306, PARAMOUNT, CA 90723-5433
(562) 633-1404
(562) 633-3036
Mailing address
16660 PARAMOUNT BLVD, SUITE 306, PARAMOUNT, CA 90723-5433
(562) 633-1404
(562) 633-3036
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A25135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A251351
—
CA
Enumeration date
01/04/2008
Last updated
03/24/2009
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