Elizabeth Hardin
Physician Assistant in La Mesa, CA. Individual provider (NPI-1).
NPI number1841978384
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1841978384
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Hardin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2023
- Certification date
- Sep 26, 2023
- Last updated
- Sep 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA63316 | CA | Yes |
Other names
- Elizabeth Koceja (Former Name)
Practice location
5555 Grossmont Center DrLa Mesa, CA 91942-3019
Phone 619-644-3030
Mailing address
12303 Boulder View DrPoway, CA 92064-5315
Phone 360-831-3001
Other practice locations
12303 Boulder View Dr
Poway, CA 92064-5315
Poway, CA 92064-5315
Phone 360-831-3001
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All 59 Physician Assistant providers in La Mesa · All 2,882 providers in La Mesa
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