Marco Lizarraga, RADT Valid NPI

Individual provider · Medical Physician Assistant · Campo, CA

NPI

1598566200

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

CMAC-8054 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2025-03-20

Last updated

2026-06-17