Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORGE A ERAZO
Active Sole ProprietorJORGE A ERAZO is a Multi-Specialty Clinic healthcare provider located in WEST COVINA, California. NPI 1679123061 is currently active in the NPPES registry. Verify at CMS.
Multi-Specialty Clinic · WEST COVINA, CA
Registration Details
- NPI Number
- 1679123061
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2019 (6.7184868147748 yrs)
- Last Updated
- Sep 17, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1535 W MERCED AVE STE 104WEST COVINA, CA, 917903404Browse CA providers · Browse ZIP 91790
- Phone
- 6263377087
- Fax
- 6263377089
- Primary Specialty
-
Multi-Specialty Clinic
261QM1300X
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.