Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRA ANN TELLACHE, PHYSICIAN ASSISTANT
Active Sole ProprietorKIRA ANN TELLACHE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in LA MESA, California. NPI 1104441021 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LA MESA, CA
Registration Details
- NPI Number
- 1104441021
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2020 (6.1639057496068 yrs)
- Last Updated
- Aug 3, 2022
- License
-
57882 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8860 CENTER DR STE 300LA MESA, CA, 919427001Browse CA providers · Browse ZIP 91942
- Phone
- 6194621670
- Fax
- 6194623209
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| ANDREA MARISA STALLINGS | MS PAC | 1972595478 |
| MS. ANTONIA LOPEZ | PHYSICIAN ASSISTANT | 1255301636 |
| RANDY F JONES | PA | 1578508743 |
| JULIA A. CAPUTO | P.A. | 1063421386 |
| ZERLA JALLORINA STOLLER | PA | 1265442792 |
| GENE MARTIN CORDOVA | P.A. | 1447358908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.