MISS MARIA GUADALUPE MALDONADO P.A. NPI 1861577488

NPI Information

NPI: 1861577488
Provider Name: MISS MARIA GUADALUPE MALDONADO, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1200 N STATE ST RM 1011
LOS ANGELES, CA
ZIP 90033
Phone: (323) 409-6715
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MISS Maria Guadalupe Maldonado, P.A. is a medical physician assistant in Los Angeles, CA. MISS Maria Guadalupe Maldonado, P.A. NPI is 1861577488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 N STATE ST RM 1011
LOS ANGELES, CA
ZIP 90033-029
Phone: (323) 409-6715

The enumeration date for this NPI number is 10/25/2006 and was last updated on 2/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA18520	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EAP70768F	MEDICAID	CALIFORNIA
2	HAP70768F	MEDICAID	CALIFORNIA
3	WPA18520A	MEDICARE PIN	CALIFORNIA
4	95314536824	OTHER	CALIFORNIA	TIN
5	W14338	OTHER	CALIFORNIA	MEDICARE CHAP PTAN
6	PA18520	OTHER	CALIFORNIA	CA PA LICENSE
7	FHC70768F	MEDICAID	CALIFORNIA
8	1871689315	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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