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NPI Code Detail

MEDICARE: CRISTINA TIPEI PA-C

MEDICARE: CRISTINA TIPEI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant52760CA

General Provider Information

NPI Number : 1639547631
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA TIPEI PA-C
Provider Business Mailing Address
First Line : 305 E CENTER AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6331
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 E LAKEVIEW AVE
Second Line :
City : WOODLAKE
State : CA
Zip : 93286-1301
Country : US
Telephone Number : 559-564-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2015
Last Update Date : 09/08/2015

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Directions to “ CRISTINA TIPEI PA-C” Practice Location

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