| Gustavo Mario Roldan, PAC | |
|
3221 Liberty Blvd, South Gate, CA 90280-2315 | |
| (323) 566-9171 | |
| (323) 566-9178 |
| Full Name | Gustavo Mario Roldan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3221 Liberty Blvd, South Gate, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790720381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17277 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Mario Roldan, PAC 3221 Liberty Blvd, South Gate, CA 90280-2315 Ph: (323) 566-9171 | Gustavo Mario Roldan, PAC 3221 Liberty Blvd, South Gate, CA 90280-2315 Ph: (323) 566-9171 |
Mario Abrego, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8225 Long Beach Blvd, South Gate, CA 90280 Phone: 323-585-2486 Fax: 323-585-7455 | |
Angel Langlois, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8919 California Ave, South Gate, CA 90280 Phone: 323-487-5002 | |
Monica Diaz, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 9916 San Juan Ave, South Gate, CA 90280 Phone: 323-564-1100 Fax: 323-564-1133 | |
Rivellino Alberto Aguilar, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8225 Long Beach Blvd, South Gate, CA 90280 Phone: 323-585-1056 | |
Gloria Slavinski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4476 Tweedy Blvd, South Gate, CA 90280 Phone: 323-268-9191 | |
Nancy Shenouda, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10132 California Ave, South Gate, CA 90280 Phone: 323-566-4411 | |
Ms. Maria Esther Fernandez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3175 Firestone Blvd, South Gate, CA 90280 Phone: 323-567-8910 Fax: 323-923-5460 |