Individual
MR. GARY RAWLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5345 IRWINDALE AVE, IRWINDALE, CA 91706-2025
(626) 960-5361
(626) 337-0833
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5360
(714) 635-5428
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20262
PA LICENSE
CA
Enumeration date
03/31/2008
Last updated
06/13/2008
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