Individual
NOAH SEIYA PACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-4593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
274389
TN
163W00000X
Registered Nurse
95386789
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032055
CA
Other
Enumeration date
01/18/2024
Last updated
10/17/2024
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