Individual
MR. CARLOS SIMON USMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1704 W MANCHESTER AVE STE 101, LOS ANGELES, CA 90047-3056
(323) 778-6215
(323) 778-6312
Mailing address
1704 W MANCHESTER AVE STE 101, LOS ANGELES, CA 90047-3056
(323) 778-6215
(323) 778-6312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15730
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 15703
PHYSICIAN ASSISTANT COMMI
CA
Enumeration date
02/04/2008
Last updated
02/04/2008
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