-- ANGELA ISKANDAR ANAK-AGUNG-GEDE -- PA
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1790912103- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 480 4TH AVENUE SUITE 307, CHULA VISTA, CA, 91910
- Phone
- (619) 426-3240
- Fax
- (619) 426-5964
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: CA #19998