Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANGEL PEMAYUN ANAK-AGUNG-GEDE, PA-C
ActiveMR. ANGEL PEMAYUN ANAK-AGUNG-GEDE, PA-C is a Physician Assistant healthcare provider located in SAN DIEGO, California. NPI 1356675037 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1356675037
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2009 (16.861389931871 yrs)
- Last Updated
- May 8, 2019
- License
-
PA19498 (CA)
Practice Information
- Address
-
5717 PACIFIC CENTER BLVD STE 200SAN DIEGO, CA, 921214250Browse CA providers · Browse ZIP 92121
- Phone
- 8588591188
- Fax
- 8444048924
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT KIERNAN | P.A. | 1538164702 |
| EMILY CHRISTINE RALL | PA-C | 1407855828 |
| NATHALIE CALLAHAN EGAN | P.A. | 1770583262 |
| MR. JEREMY ANDREW ADLER | PA-C | 1538154786 |
| MICHAEL J. NELMS | PA-C | 1235113580 |
| MR. PATRICK MICHAEL HARE | PA-C | 1427033216 |
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.