Search › California › 101YM0800X
Mario Maldonado, TBS
NPI 1336268713 · on the registry since 2007 · sole proprietor
Practice
- Address
- 921 W Avenue J
Lancaster, CA 93534 - Phone
- (661) 949-0131
- Fax
- (661) 729-8912
- Clinicians at this address
- 138
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California