Individual provider · Type 1 NPI

Angela Iskandar Anak-Agung-Gede, PA

Medical Physician Assistant · Chula Vista, CA

NPI number 1790912103 Active

Practice location

480 4th Avenue, Suite 307
Chula Vista, CA 91910

Call (619) 426-3240 Map

Fax (619) 426-5964

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X19998 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1790912103

Angela Iskandar Anak-Agung-Gede, PA's National Provider Identifier is 1790912103, issued on Jun 12, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chula Vista, CA. The record was last updated on Sep 20, 2011.