| Doctor Name: | GERARDO O. PASCUAL |
| NPI Number: | 1003097189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A35566 |
| Business Practice Address: | 626 Boyer Ln La Puente, CA - 917446131 |
| Business Phone Number: | 6269647174 |
| Business Fax Number: | 6268391578 |
| Mailing Address: | 626 Boyer Ln, LA PUENTE |
| State: | CA |
| Postal Code: | 917446131 |
| Phone Number: | 6269647174 |
| Fax Number: | 6268391578 |
| NPI Enumeration Date: | 11/17/2007 |
| NPI Last Update Date: | 11/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | A35566 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |