TINA EILEEN LEWIS MMSC PA-C NPI 1720022882

NPI Information

NPI: 1720022882
Provider Name: TINA EILEEN LEWIS, MMSC , PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
9663 SANTA MONICA BLVD STE 769
BEVERLY HILLS, CA
ZIP 90210
Phone: (310) 596-0038
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Tina Eileen Lewis, MMSC , PA-C is a medical physician assistant in Beverly Hills, CA. Tina Eileen Lewis, MMSC , PA-C NPI is 1720022882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9663 SANTA MONICA BLVD STE 769
BEVERLY HILLS, CA
ZIP 90210-303
Phone: (310) 596-0038

The enumeration date for this NPI number is 6/16/2006 and was last updated on 2/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA19614	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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