Individual provider · Type 1 NPI
Tina Eileen Lewis, MMSC, PA-C
Medical Physician Assistant · Beverly Hills, CA
NPI number
1720022882
Active
Practice location
9663 Santa Monica Blvd Ste 769
Beverly Hills, CA 90210-4303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA19614 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1720022882
Tina Eileen Lewis, MMSC, PA-C's National Provider Identifier is 1720022882, issued on Jun 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Beverly Hills, CA. The record was last updated on Feb 2, 2022.