Individual provider · Type 1 NPI

Terri Ann Sullivan-Macias, PA-C

Medical Physician Assistant · Anaheim, CA

NPI number 1215075841 Active

Practice location

1723 W Ball Rd
Anaheim, CA 92804-5502

Call (714) 635-0363 Map

Mailing address

9888 Ravari Dr
Cypress, CA 90630-3553

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA11279 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1215075841

Terri Ann Sullivan-Macias, PA-C's National Provider Identifier is 1215075841, issued on Feb 4, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Anaheim, CA. The record was last updated on Jul 8, 2007.