ANGEL PEMAYUN ANAK-AGUNG-GEDE

SAN DIEGO, CA
NPI1356675037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA19498)
Enumeration Date2009-09-28
Last Update Date2019-05-08
Business Address
Mr. ANGEL PEMAYUN ANAK-AGUNG-GEDE PA-C
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA 92121-4250
Phone number: 858-859-1188
Mailing Address
Mr. ANGEL PEMAYUN ANAK-AGUNG-GEDE PA-C
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA 92121-4250
Phone number: 858-859-1188
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