Individual
DAVID MAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4910 DIRECTORS PL STE 350, SAN DIEGO, CA 92121-3834
(858) 346-7171
Mailing address
4910 DIRECTORS PL STE 350, SAN DIEGO, CA 92121-3834
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
12-0812
CA
363A00000X
Physician Assistant
Primary
57577
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/20/2015
Last updated
12/09/2019
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