Individual provider · Type 1 NPI

Kellie Johnson Matusalem, MS, PA-C

Physician Assistant · San Diego, CA

NPI number 1194121954 Active

Practice location

3750 Convoy St Ste 201
San Diego, CA 92111-3770

Call (858) 278-8300 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X51956 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194121954

Kellie Johnson Matusalem, MS, PA-C's National Provider Identifier is 1194121954, issued on Nov 6, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 21, 2021.