Individual provider · Type 1 NPI

Lisa Marie Cano, P.A.

Surgical Physician Assistant · Santa Monica, CA

NPI number 1619912276 Active

Practice location

1301 20th St
Santa Monica, CA 90404-2080

Mailing address

418 Pier Ave
Santa Monica, CA 90405-5539

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA17961 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1619912276

Lisa Marie Cano, P.A.'s National Provider Identifier is 1619912276, issued on Jun 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Monica, CA. The record was last updated on Jan 22, 2015.