Individual
ANTONIO MICHAEL SIMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8008 FROST ST STE 200, SAN DIEGO, CA 92123-4207
(858) 292-7527
(858) 863-5010
Mailing address
8008 FROST ST STE 200, SAN DIEGO, CA 92123-4207
(858) 292-7527
(858) 863-5010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA68706
CA
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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