Individual
ELISEO AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
8225 LONG BEACH BLVD, SOUTH GATE, CA 90280
(323) 585-1056
(323) 587-1671
Mailing address
6127 FISHBURN AVE, HUNTINGTON PARK, CA 90255
(323) 771-4689
(323) 771-4689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17268
CA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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