Individual provider · Type 1 NPI

Brenda Lee Mann, PA-C

Surgical Physician Assistant · La Jolla, CA

NPI number 1629265194 Active

Practice location

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027

Fax (858) 784-5960

Mailing address

10760 Scripps Ranch Blvd, Apt 202
San Diego, CA 92131-6002

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2130 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1629265194

Brenda Lee Mann, PA-C's National Provider Identifier is 1629265194, issued on Sep 28, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Jolla, CA. The record was last updated on Dec 20, 2010.