Provider Demographics
NPI:1891089892
Name:PIEROLA, CLAUDIA G (PA-C)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:G
Last Name:PIEROLA
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 1:12311 PACIFIC AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-4421
Mailing Address - Country:US
Mailing Address - Phone:561-972-0166
Mailing Address - Fax:
Practice Address - Street 1:12311 PACIFIC AVE APT 5
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-4421
Practice Address - Country:US
Practice Address - Phone:561-972-0166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105992363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical