MEDICARE: MICHELLE PARTAIN 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
1	363AM0700X	Medical Physician Assistant	PA15228	CA

General Provider Information

NPI Number	:	1033170600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE PARTAIN PA-C

Provider Business Mailing Address
First Line	:	986 BEL AIR DR E
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92084-5503
Country	:	US
Telephone Number	:	760-941-8914
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 WARING CT
Second Line	:	SUITE J
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4509
Country	:	US
Telephone Number	:	760-941-4498
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	07/08/2007

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Directions to “ MICHELLE PARTAIN PA-C” Practice Location

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