Provider Demographics
NPI:1912159559
Name:ARAGON-NAVARRETE, CRISTINA MARGARITA (PA-C)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARGARITA
Last Name:ARAGON-NAVARRETE
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 1:1780 NEW YORK DR
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-3329
Mailing Address - Country:US
Mailing Address - Phone:626-372-9033
Mailing Address - Fax:
Practice Address - Street 1:2550 W MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1694
Practice Address - Country:US
Practice Address - Phone:626-457-6913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19928363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant