Provider Demographics
NPI:1487834016
Name:PABLO, ANNETTE MAGARRO (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:ANNETTE
Middle Name:MAGARRO
Last Name:PABLO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 FLORENCE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4054
Mailing Address - Country:US
Mailing Address - Phone:562-202-5020
Mailing Address - Fax:562-923-6601
Practice Address - Street 1:8500 FLORENCE AVE STE 101
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4054
Practice Address - Country:US
Practice Address - Phone:562-202-5020
Practice Address - Fax:562-923-6601
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant