Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erwin Jesus De los Santos Gervacio

Individual provider Medical Physician Assistant · NPI 1386531069

Erwin Jesus De los Santos Gervacio is a Medical Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

225 N Mariposa Ave
Los Angeles, CA 90004-4509
Phone: (213) 736-5441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (CA)

Record details

NPI number1386531069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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