STEVE GICHURU PA-C NPI 1003002288

Physician Assistant (Medical) in West Covina, CA

About STEVE GICHURU

Steve Gichuru is a provider in West Covina, CA. The NPI number assigned to this provider is 1003002288. The practitioner's primary taxonomy code is Physician Assistant (363AM0700X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1003002288

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name STEVE GICHURU PA-C
Provider Location Address409 E MERCED AVE STE A WEST COVINA, CA 91790 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1576 OUTRIGGER WEST COVINA, CA 91790 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-20-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-20-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

STEVE GICHURU PA-C
409 E MERCED AVE STE A
WEST COVINA, CA
ZIP 91790
Phone: (625) 931-0901
Get Directions

Mailing Address

STEVE GICHURU PA-C
1576 OUTRIGGER
WEST COVINA, CA
ZIP 91790
Phone: (562) 414-4166

Primary Taxonomy

Taxonomy Code363AM0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.PA15965
License StateCA

Map Location


STEVE GICHURU PA-C address is 409 E MERCED AVE STE A WEST COVINA, CA 91790
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