Individual
MR. BRYAN RAUL CUADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3255 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90010-1405
(213) 235-2500
Mailing address
3727 W 6TH ST STE 210, LOS ANGELES, CA 90020-5108
(213) 235-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1207074
CA
Other
Enumeration date
09/25/2023
Last updated
10/20/2023
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