Individual provider · Type 1 NPI

Mieko McCaleb, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1811034614 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Mailing address

2019 W 41st St
Los Angeles, CA 90062-1417

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA16005 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1811034614

Mieko McCaleb, PA-C's National Provider Identifier is 1811034614, issued on Jan 31, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 20, 2026.