Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LOU MIZELLE DELACRUZ TANWANGCO, PA-C
Active Sole ProprietorMRS. LOU MIZELLE DELACRUZ TANWANGCO, PA-C is a Medical Physician Assistant healthcare provider located in SAN BERNARDINO, California. NPI 1609993708 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1609993708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2007 (19.390093767456 yrs)
- Last Updated
- Dec 1, 2011
- License
-
PA17755 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1906 COMMERCENTER E STE 100SAN BERNARDINO, CA, 924083423Browse CA providers · Browse ZIP 92408
- Phone
- 9094787776
- Fax
- 9094787768
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| RAQUEL MARIE HENDERSON | PA-C | 1770597809 |
| MR. EZEQUIEL MARTINEZ | P.A. | 1497822142 |
| MARIA ELENA TERRAZAS | PA | 1972651289 |
| CORY AMADOR | PA-C | 1801082946 |
| MISS CATHERINE DOMINGO OMS | RN, PAC | 1982880795 |
| SONNY RULL | — | 1235463019 |
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.