Gustavo Mario Roldan, PAC
NPI #1790720381 in South Gate, California
Provider Information
- NPI Number
- 1790720381
- Entity Type
- Individual
- Name
- Gustavo Mario Roldan, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3221 LIBERTY BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-2315
- Phone
- (323) 566-9171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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