TIMOTHY ALBERT BANGAYAN LUI

VALENCIA, CA
NPI1275018764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  PA56078)
Enumeration Date2018-10-01
Last Update Date2018-10-05
Business Address
TIMOTHY ALBERT BANGAYAN LUI PA-C
25751 MCBEAN PKWY STE 305
VALENCIA, CA 91355-3701
Phone number: 661-799-2542
Mailing Address
TIMOTHY ALBERT BANGAYAN LUI PA-C
1867 SUMMERTIME AVE
SIMI VALLEY, CA 93065-6236
Phone number: 818-800-9348