Kellie Johnson Matusalem MS, PA-C

  • NPI 1194121954
According to our database, the NPI number for Kellie Johnson Matusalem MS, PA-C is 1194121954 and activated since 9 years ago. Kellie Johnson Matusalem MS, PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 3750 Convoy St Ste 201, San Diego, CA 92111. You can also contact Kellie Johnson Matusalem MS, PA-C via telephone number is (858) 278-8300. Provider NPI information was last updated on 03/29/2018.

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Overview of Kellie Johnson Matusalem MS, PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/06/2014
  • Last updated: 03/29/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 51956
  • License State: CA

Provider Mailing Address

  • Address: 3750 Convoy St Ste 201
    San Diego, CA 92111
  • Phone: 858-278-8300
  • Fax:

Provider Practice Location

  • Address: 3750 Convoy St Ste 201
    San Diego, CA 92111
  • Phone: 858-278-8300
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 51956
  • License State: CA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kellie Johnson Matusalem MS, PA-C?
  • A: The npi number for Kellie Johnson Matusalem MS, PA-C is 1194121954.
  • Q: What are Kellie Johnson Matusalem MS, PA-C's specialties?
  • A: Kellie Johnson Matusalem MS, PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kellie Johnson Matusalem MS, PA-C?
  • A: The medical license number for Kellie Johnson Matusalem MS, PA-C is 51956 and issued in CA in USA.
  • Q: Where is Kellie Johnson Matusalem MS, PA-C practice location?
  • A: Kellie Johnson Matusalem MS, PA-C is practicing at 3750 Convoy St Ste 201, San Diego, CA 92111.
  • Q: How to contact Kellie Johnson Matusalem MS, PA-C?
  • A: You can contact Kellie Johnson Matusalem MS, PA-C via 858-278-8300.