Individual
MS. AMANDA JENNIFER MONROE SIPOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
Mailing address
42600 MIRAGE RD, RANCHO MIRAGE, CA 92270-4127
(760) 423-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61515
CA
Other
Enumeration date
09/20/2021
Last updated
10/16/2025
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