Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY PHOMMAHAXAY, M.D.
ActiveKELLY PHOMMAHAXAY, M.D. is a Family Medicine healthcare provider located in LA MESA, California. NPI 1770997173 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LA MESA, CA
Registration Details
- NPI Number
- 1770997173
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2014 (12.183763982305 yrs)
- Last Updated
- Jan 18, 2024
- License
-
59533 (MN)
Practice Information
- Address
-
8080 PARKWAY DRLA MESA, CA, 919422104Browse CA providers · Browse ZIP 91942
- Phone
- 6197535115
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LEE HYLAND REMINGTON-BOONE | M.D. | 1164421012 |
| DR. WAYNE STEWART TRUE | M.D., M.P.H. | 1144220997 |
| MICHAEL ANDRISANI | MD | 1184617987 |
| DR. SHERI LYNN WALTER | M.D. | 1750375234 |
| DR. MARIA ELENA LAI | M.D. | 1588645048 |
| DAT WILLIAM NGUYEN | MD | 1386626448 |
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.