Provider Demographics
NPI:1811172067
Name:ROJAS, PABLO G (PA)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:G
Last Name:ROJAS
Suffix:
Gender:M
Credentials:PA
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2030 VIBORG RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-3219
Mailing Address - Country:US
Mailing Address - Phone:805-688-2600
Mailing Address - Fax:805-693-8109
Practice Address - Street 1:2030 VIBORG RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-3219
Practice Address - Country:US
Practice Address - Phone:805-688-2600
Practice Address - Fax:805-693-8109
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA19380363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA19380OtherSTATE LICENSE