Individual
ANDREA LYNN MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2600 VIA DE LA VALLE, STE 200, DEL MAR, CA 92014-1992
(858) 309-3116
(858) 309-3139
Mailing address
2600 VIA DE LA VALLE, STE 200, DEL MAR, CA 92014-1992
(858) 309-3116
(858) 309-3139
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330454950
GROUP ID#
CA
Enumeration date
09/17/2006
Last updated
04/19/2017
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