in San Diego - Physician Assistant

- NPI 1679685721

is a Physician Assistant in San Diego, California. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1679685721. The last update date is .

's current location address is 8008 Frost St, San Diego, California. You can contact this provider via phone number 8589395434. The mailing address for is 8008 Frost St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 8008 Frost St, San Diego, California
Phone Number 8589395434
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1679685721
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 8008 Frost St
City San Diego
State California (CA)
Post Code 921234205
Phone Number 8589395434
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA16169
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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