Provider Demographics
NPI:1912053851
Name:AZPEITIA, HILDA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HILDA
Middle Name:
Last Name:AZPEITIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HILDA
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:521 N AZUSA AVE
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-2936
Mailing Address - Country:US
Mailing Address - Phone:626-818-6328
Mailing Address - Fax:626-334-4061
Practice Address - Street 1:521 N AZUSA AVE
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702
Practice Address - Country:US
Practice Address - Phone:626-818-6328
Practice Address - Fax:626-334-4061
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15626363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical