Individual provider · Type 1 NPI

Lee Chaidez Mancilla, PA-C

Physician Assistant · Santa Monica, CA

NPI number 1356526495 Active

Practice location

1711 Ocean Park Blvd
Santa Monica, CA 90405-4901

Call (310) 450-4773 Map

Fax (310) 450-0873

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA19534 (CA)
Medical Physician Assistant 363AM0700X19534 (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 1356526495

Lee Chaidez Mancilla, PA-C's National Provider Identifier is 1356526495, issued on Jan 8, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Monica, CA. The record was last updated on Aug 17, 2010.