Most Relevant Information
Provider Data
| NPI Number: | 1003002288 |
| Provider Name: | STEVE GICHURU PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA15965 |
Most Important Dates
| Enumeration Date: | 09/20/2007 |
| Last Updated: | 09/20/2007 |
Provider Practice Location
409 E MERCED AVE STE A
WEST COVINA
CA
917905061
Practice Location Phone/Fax
| Phone: | 6259310901 |
| Fax: |
Provider Mailing Location
1576 OUTRIGGER
WEST COVINA
CA
917903397
Provider Mailing Phone/Fax
| Phone: | 5624144166 |
| Fax: |