Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lou Mizelle Delacruz Tanwangco, PA-C

Individual provider Medical Physician Assistant · NPI 1609993708

Mrs. Lou Mizelle Delacruz Tanwangco, PA-C is a Medical Physician Assistant in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1906 Commercenter E Ste 100
San Bernardino, CA 92408-3423
Phone: (909) 478-7776
Fax: (909) 478-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA17755 (CA)

Record details

NPI number1609993708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 23, 2007
Last updated in NPPESDecember 1, 2011

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