Individual
MR. CARLOS SIMON USMANY
Active
Individual
MR. CARLOS SIMON USMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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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