Individual provider · Type 1 NPI

Elise M. Tetelman, PA-C, MBA

Medical Physician Assistant · San Diego, CA

NPI number 1225530686 Active

Practice location

5776 Ruffin Rd
San Diego, CA 92123-1013

Mailing address

3020 Childrens Way # MC5003
San Diego, CA 92123-4223

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA64605 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1225530686

Elise M. Tetelman, PA-C, MBA's National Provider Identifier is 1225530686, issued on Mar 1, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Feb 10, 2025.