Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY MANSOUR
ActiveHOLLY MANSOUR is a Physician Assistant healthcare provider located in LAKESIDE, California. NPI 1760351415 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKESIDE, CA
Registration Details
- NPI Number
- 1760351415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2025 (0.77594930496128 yrs)
- Last Updated
- Oct 31, 2025
Practice Information
- Address
-
12060 THISTLE BRAES TERLAKESIDE, CA, 920404929Browse CA providers · Browse ZIP 92040
- Phone
- 6196729346
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKESIDE, CA
| Name | Credential | NPI |
|---|---|---|
| JACOB THOMAS BOLZ | PA-C | 1386025682 |
| ZACH GLASCOX | — | 1891203105 |
| MATHEW MAZO REYNOLDS | — | 1578171260 |
| CHRISTIAN MICHAEL KONDAN | PA-C | 1255073748 |
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.