PRODE P. PASCUAL, M.D., INC.
Ambulatory Health at Gridley Rd, Artesia, CA

License number
California A30986
Category
Ambulatory Health
Type
Primary Care
Owner
Name: PRODE PASCUAL
Title: CEO
Phone: (562) 865-0213
Address
Address
18331 Gridley Rd SUITE C, Artesia, CA 90703
National Provider ID: 1649646209
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PRODE P. PASCUAL, M.D. INC

Artesia, CA

Doing business as:
Prode P Pascual MD
Registration:
Apr 11, 1979
Phone:
(562) 865-0213 (Phone)
Addresses:
18331 Gridley Rd STE C, Cerritos, CA 90703 (Physical)
11360 183 St, Artesia, CA 90703
State ID:
C0887465
Business type:
Articles of Incorporation
President:
Prode P. Pascual (President)
Agent:
Romanita Ebro,Sherman Oaks, CA 91423 (Physical)

Ambulatory Health licenses in California