Amanda Tabarracci, PA
Physician Assistant in Oceanside, CA. Individual provider (NPI-1).
NPI number1295314458
StatusActive
Last updated in NPPESJun 22, 2022
Details
- NPI
- 1295314458
- Entity type
- Individual (NPI-1)
- Name
- Amanda Tabarracci
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2021
- Certification date
- Jun 22, 2022
- Last updated
- Jun 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA59686 | CA | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – |
Practice location
4318 Mission AveOceanside, CA 92057-6541
Phone 760-901-5010
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
Phone 760-901-5010
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All 47 Physician Assistant providers in Oceanside · All 4,206 providers in Oceanside
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