Healthcare Provider Details

I. General information

NPI: 1376138446
Provider Name (Legal Business Name): MICHELLE EYLER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE WOYSHNER

II. Dates (important events)

Enumeration Date: 03/01/2021
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE STE 360
LA JOLLA CA
92037-1212
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 858-626-5900
  • Fax:
Mailing address:
  • Phone: 619-245-2350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number60513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: