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Lee Chaidez Mancilla, PA-C
Medical Physician Assistant in Santa Monica, California
NPI 1356526495

Lee Chaidez Mancilla is a Medical Physician Assistant based in Santa Monica, CA and is specialized in Medical. Lee Chaidez Mancilla practices in Santa Monica, CA and has the professional credentials of PA-C. The NPI Number for Lee Chaidez Mancilla is 1356526495 and holds a License No. PA19534 (California).

The current practice location address for Lee Chaidez Mancilla is 1711 Ocean Park Blvd, Santa Monica, CA and can be reached out via phone at 310-450-4773 and via fax at 310-450-0873. You can also correspond with Lee Chaidez Mancilla through the mailing address at 1711 OCEAN PARK BLVD, SANTA MONICA, CA - 90405-4901 (mailing address contact number: 310-450-4773).

Location: 1711 Ocean Park Blvd, Santa Monica, CA, 90405-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356526495
Provider Name
Lee Chaidez Mancilla
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1711 Ocean Park Blvd, Santa Monica, CA, 90405-4901
Phone Number
310-450-4773
Fax Number
310-450-0873
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1711 Ocean Park Blvd
City
Santa Monica
State
California
Zip
90405-4901
Phone Number
310-450-4773
Fax Number
310-450-0873
person
Provider Business Mailing Address Details
Address
1711 Ocean Park Blvd
City
Santa Monica
State
California
Zip
90405-4901
Phone Number
310-450-4773
Fax Number
310-450-0873
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
19534 (California)
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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA19534 (California)
Definition
Definition to come...
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