Astourian, Patrick C

Astourian, Patrick C is an individual health care provider with primary practice located at 5565 Grossmont Center Dr Building 3 Suite 256, La Mesa CA 91942-3020. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Other Service Providers / Specialist. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Astourian, Patrick C can be contacted via phone (619) 462-3131.

Contact Information

Primary practice address
5565 Grossmont Center Dr Building 3 Suite 256 La Mesa CA 91942-3020
Phone: (619) 462-3131
Fax: (619) 462-1731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16654 California
Other Service Providers / Specialist 174400000X PA16654 California

Profile Details

NPI number 1932294279
LBN Legal business name Astourian, Patrick C
Credentials MS PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932294279 NPPES
California MEDICAID GR0104522

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