Grace Ann Elliott, PA-C
Physician Assistant in La Jolla, CA. Individual provider (NPI-1).
NPI number1114652005
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1114652005
- Entity type
- Individual (NPI-1)
- Name
- Grace Ann Elliott
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2022
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 63208 | CA | Yes |
Practice location
9850 Genesee Ave Ste 320La Jolla, CA 92037-1208
Phone 858-554-1212 · Fax 858-795-1195
Mailing address
9850 Genesee Ave Ste 320La Jolla, CA 92037-1208
Phone 858-554-1212 · Fax 858-795-1195
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