DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. BLOSSOM DAWN VENCER AGUIRRE, MS, PA-C

Active

MS. BLOSSOM DAWN VENCER AGUIRRE, MS, PA-C is a Physician Assistant healthcare provider located in SANTA MONICA, California. NPI 1235475005 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SANTA MONICA, CA

Registration Details

NPI Number
1235475005
Provider Type
Individual
Gender
Female
NPI Issued
Dec 21, 2012 (13.609658223182 yrs)
Last Updated
Mar 31, 2015
License
PA22589 (CA)

Practice Information

Address
1316 3RD STREET PROMENADE STE 201
SANTA MONICA, CA, 904011382
Browse CA providers · Browse ZIP 90401
Phone
8005675544
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SANTA MONICA, CA

Name Credential NPI
AMY ADAMS PA 1609827708
MIGUEL A. SUTTER P.A. 1619917903
MEGHAN EMILY MOORE PA 1295778504
SHERRYL A BEH PA 1467497719
MS. RHIONNA JANE SMITH PA-C 1245255678
JENNIFER R KOSOVA PAC 1083636203
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.