Provider Demographics
NPI:1689970196
Name:MAALOUF, GABRIEL ASSAAD II (PA-C)
Entity Type:Individual
Prefix:MR
First Name:GABRIEL
Middle Name:ASSAAD
Last Name:MAALOUF
Suffix:II
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:11795 EDUCATION ST
Practice Address - Street 2:SUITE 224
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-2454
Practice Address - Country:US
Practice Address - Phone:530-889-7411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2014-01-29
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Provider Licenses
StateLicense IDTaxonomies
CAPA21383363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical