Individual
DESIREE M EVANS-CLAASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8990
(858) 784-5933
Mailing address
FILE 54433, LOS ANGELES, CA 90074-0001
(858) 784-5767
(858) 784-5933
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA190160
BLUE SHIELD OF CA
CA
Enumeration date
01/25/2007
Last updated
12/06/2021
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