| Doctor Name: | PAULO NARVAEZ JUSAY |
| NPI Number: | 1013191840 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, ACNP, APRN,BC |
| License Number: | 17258 |
| Business Practice Address: | 1500 Duarte Rd Duarte, CA - 910103012 |
| Business Phone Number: | 6267753514 |
| Business Fax Number: | |
| Mailing Address: | 1333 S Mayflower Ave, 2nd Fl MONROVIA |
| State: | CA |
| Postal Code: | 910164066 |
| Phone Number: | 6267753200 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 17258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |