person
Angela Iskandar Anak-agung-gede, PA
Medical Physician Assistant in Chula Vista, California
NPI 1790912103

Angela Iskandar Anak-agung-gede is a Medical Physician Assistant based in Chula Vista, CA and is specialized in Medical. Angela Iskandar Anak-agung-gede practices in Chula Vista, CA and has the professional credentials of PA. The NPI Number for Angela Iskandar Anak-agung-gede is 1790912103 and holds a License No. 19998 (California).

The current practice location address for Angela Iskandar Anak-agung-gede is 480 4Th Avenue, Chula Vista, CA and can be reached out via phone at 619-426-3240 and via fax at 619-426-5964.

Location: 480 4Th Avenue, Chula Vista, CA, 91910
person
Provider Profile Details
NPI Number
1790912103
Provider Name
Angela Iskandar Anak-agung-gede
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
480 4Th Avenue, Chula Vista, CA, 91910
Phone Number
619-426-3240
Fax Number
619-426-5964
Provider Enumeration Date
06/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19998 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
480 4Th Avenue
City
State
Zip
91910
Phone Number
619-426-3240
Fax Number
619-426-5964
person
Provider Business Mailing Address Details
Address
480 4Th Avenue
City
State
Zip
91910
Phone Number
619-426-3240
Fax Number
619-426-5964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
19998 (California)
Definition
Definition to come...
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