Christian Michael Kondan, PA-C
Physician Assistant in Lakeside, CA. Individual provider (NPI-1).
NPI number1255073748
StatusActive
Last updated in NPPESApr 13, 2022
Details
- NPI
- 1255073748
- Entity type
- Individual (NPI-1)
- Name
- Christian Michael Kondan
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2022
- Certification date
- Apr 13, 2022
- Last updated
- Apr 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60948 | CA | Yes |
Practice location
13523 Sohail StLakeside, CA 92040-4762
Phone 619-564-9461
Mailing address
13523 Sohail StLakeside, CA 92040-4762
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