person
Karla Mataele, PA
Medical Physician Assistant in San Diego, California
NPI 1275860868

Karla Mataele is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. Karla Mataele practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Karla Mataele is 1275860868 and holds a License No. 7495099-1206 (California).

The current practice location address for Karla Mataele is 6195 Lusk Blvd Ste 250, San Diego, CA and can be reached out via phone at 858-859-1188.

Location: 6195 Lusk Blvd Ste 250, San Diego, CA, 92121-3715
person
Provider Profile Details
NPI Number
1275860868
Provider Name
Karla Mataele
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
6195 Lusk Blvd Ste 250, San Diego, CA, 92121-3715
Phone Number
858-859-1188
Fax Number
Provider Enumeration Date
11/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7495099-1206 01 UT STATE LICENSE
PA21532 01 CA DEPARMENT OF CONSUMER AFFAIRS PHYSCIAN ASSISTANT BOARD
institution
Provider Business Practice Location Address Details
Address
6195 Lusk Blvd Ste 250
City
State
Zip
92121-3715
Phone Number
858-859-1188
Fax Number
person
Provider Business Mailing Address Details
Address
6195 Lusk Blvd Ste 250
City
State
Zip
92121-3715
Phone Number
858-859-1188
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
7495099-1206 (Utah)
Definition
Definition to come...
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