Spark Physician Assistant Services, Inc.
NPI #1760093454 in San Pedro, California
Provider Information
- NPI Number
- 1760093454
- Entity Type
- Organization
- Organization Name
- Spark Physician Assistant Services, Inc.
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 14, 2020
- Last Updated
- Sep 8, 2020
Practice Location
- Address
- 3031 S DENISON AVE
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-6703
- Phone
- (323) 379-3611
Authorized Official
- Name
- CHRISTINA RIBAO, PA-C
- Title
- OWNER
- Phone
- (323) 379-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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