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“Physician Assistant” (Lakeside, CA)

Location: Lakeside, CA
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1053903153 — LARA S MATTY
Practice Location Address:
9149 SINGLE OAK DR
LAKESIDE CA
92040-4521
Practice Phone: 714-306-9969
1255073748 — CHRISTIAN MICHAEL KONDAN PA-C
Practice Location Address:
13523 SOHAIL ST
LAKESIDE CA
92040-4762
Practice Phone: 619-564-9461
1386025682 — JACOB THOMAS BOLZ PA-C
Practice Location Address:
12517 LAKESHORE DR
LAKESIDE CA
92040-3103
Practice Phone: 619-443-3843
1578171260 — MATHEW MAZO REYNOLDS
Practice Location Address:
10039 VINE ST
LAKESIDE CA
92040-3120
Practice Phone: 833-867-4642
1760351415 — HOLLY MANSOUR
Practice Location Address:
12060 THISTLE BRAES TER
LAKESIDE CA
92040-4929
Practice Phone: 619-672-9346
1891203105 — ZACH GLASCOX
Practice Location Address:
10039 VINE ST
LAKESIDE CA
92040-3120
Practice Phone: 740-513-1087

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