Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GUSTAVO MARIO ROLDAN, PAC
ActiveGUSTAVO MARIO ROLDAN, PAC is a Physician Assistant healthcare provider located in SOUTH GATE, California. NPI 1790720381 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH GATE, CA
Registration Details
- NPI Number
- 1790720381
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2006 (20.116201385171 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA17277 (CA)
Practice Information
- Address
-
3221 LIBERTY BLVDSOUTH GATE, CA, 902802315Browse CA providers · Browse ZIP 90280
- Phone
- 3235669171
- Fax
- 3235669178
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTH GATE, CA
| Name | Credential | NPI |
|---|---|---|
| RITA KAREN TAFOYA | PA | 1467567370 |
| ELISEO AYALA | PA C | 1992812283 |
| MARIO ABREGO | PAC | 1215089040 |
| RIVELLINO ALBERTO AGUILAR | PHYSICIAN ASSISTANT | 1346361888 |
| IRINA KUMAR | P.A. | 1851414247 |
| MRS. LIZA MACROHON-CROSS | PA-C | 1568675254 |
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.