| Doctor Name: | TIBURCIO PAZ ALBERTO |
| NPI Number: | 1396744884 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A-25336 |
| Business Practice Address: | 20930 Bonita St Suite W Carson, CA - 907463683 |
| Business Phone Number: | 3103247765 |
| Business Fax Number: | 3103244522 |
| Mailing Address: | Po Box 11123, CARSON |
| State: | CA |
| Postal Code: | 907491123 |
| Phone Number: | 3103247765 |
| Fax Number: | 3103244522 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A-25336 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |