Individual provider · Type 1 NPI

Lisa Liane Dimodica, PA

Physician Assistant · San Luis Obispo, CA

NPI number 1669617015 Active

Practice location

47 Santa Rosa St
San Luis Obispo, CA 93405-5816

Call (805) 542-9596 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA14335 (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 1669617015

Lisa Liane Dimodica, PA's National Provider Identifier is 1669617015, issued on Dec 12, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Dec 12, 2008.