Individual provider · Type 1 NPI
Haley Morgan Roberson Issichopoulos, MSM, PA-C
Medical Physician Assistant · Portola Valley, CA
NPI number
1699288027
Active
Practice location
844 Portola Rd
Portola Valley, CA 94028-7207
Mailing address
620 Mountain Home Rd
Woodside, CA 94062-2516
Other practice locations
- 1900 University Ave Ste 101, East Palo Alto, CA 94303-2213 · (650) 494-1000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 54940 (CA) |
| Surgical Physician Assistant | 363AS0400X | 54950 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | 54940 (CA) |
Medical Physician Assistant: Definition to come...
About NPI 1699288027
Haley Morgan Roberson Issichopoulos, MSM, PA-C's National Provider Identifier is 1699288027, issued on Nov 7, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portola Valley, CA. The record was last updated on May 10, 2021.