John Robert Western, PA
Physician Assistant, Medical in San Diego, CA. Individual provider (NPI-1).
NPI number1679679682
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679679682
- Entity type
- Individual (NPI-1)
- Name
- John Robert Western
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | pa11423 | CA | Yes |
Practice location
4405 Vandever Ave3rd Floor, Kaiser Permanente
San Diego, CA 92120-3315
Phone 619-516-7366
Mailing address
4405 Vandever Ave3rd Floor, Kaiser Permanente
San Diego, CA 92120-3315
Phone 619-516-7366
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