Individual provider · Type 1 NPI

Ellen Magdalena Boller, PA-C

Physician Assistant · Oakland, CA

NPI number 1871239616 Active

Practice location

3600 Broadway
Oakland, CA 94611-5730

Call (201) 233-6718 Map

Mailing address

77 Glen Ave Apt 105
Oakland, CA 94611-4955

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA60871 (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 1871239616

Ellen Magdalena Boller, PA-C's National Provider Identifier is 1871239616, issued on May 5, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oakland, CA. The record was last updated on Jun 21, 2022.