MEDICARE: RADIT AUR PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	51737	CA

General Provider Information

NPI Number	:	1255748596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADIT AUR PA-C

Provider Business Mailing Address
First Line	:	9341 SEPULVEDA BLVD APT 12
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-2147
Country	:	US
Telephone Number	:	949-943-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2315 E ANAHEIM ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3501
Country	:	US
Telephone Number	:	562-621-9231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2014
Last Update Date	:	07/18/2014

Similar Medicare Providers

1376658096 — DAN VU M.D.
Practice Location Address:

2315 E ANAHEIM ST
LONG BEACH, CA
90804-3501

Practice Phone: 562-621-9231
Practice Fax: 562-621-9020

1457483471 — VINA TRAN D.D.S
Practice Location Address:

2315 E ANAHEIM ST
LONG BEACH, CA
90804-3501

Practice Phone: 562-621-9211
Practice Fax: 562-621-9020

1093130981 — DAN Q VU MD INC
Practice Location Address:

2315 E ANAHEIM ST
LONG BEACH, CA
90804-3501

Practice Phone: 562-621-9231
Practice Fax: 562-621-9020

1598284721 — MS. JOANNA VEGA M.A.
Practice Location Address:

3501 E 10TH ST APT 2
LONG BEACH, CA
90804-8799

Practice Phone: 562-221-7983
Practice Fax:

1710070370 — THE PALMCREST GRAND CARE CENTER, INC.
Practice Location Address:

3501 CEDAR AVE
LONG BEACH, CA
90807-3809

Practice Phone: 562-595-1731
Practice Fax: 562-426-1099

1417047069 — MR. ANTHONY DESANTO-KELLY LICENSE PYSCH TECH 3
Practice Location Address:

3501 N LAKEWOOD BLVD
LONG BEACH, CA
90808-1736

Practice Phone: 562-570-7119
Practice Fax:

Directions to “ RADIT AUR PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.