Individual
RILEIGH OLIVIA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 984-6969
(866) 278-6876
Mailing address
8229 EL PASEO GRANDE, LA JOLLA, CA 92037-3137
(619) 981-6969
(866) 278-6876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA66646
CA
363AS0400X
Surgical Physician Assistant
Primary
PA66646
CA
Other
Enumeration date
04/21/2025
Last updated
06/23/2025
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