Provider Demographics
NPI:1861893729
Name:SIMI, JOSEPHA (PA-C)
Entity type:Individual
Prefix:
First Name:JOSEPHA
Middle Name:
Last Name:SIMI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:6645 ALVARADO RD STE 415
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-5208
Mailing Address - Country:US
Mailing Address - Phone:619-810-1241
Mailing Address - Fax:619-684-3514
Practice Address - Street 1:10666 N TORREY PINES RD # MS 313
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-554-8896
Practice Address - Fax:858-554-4555
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2018-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA51872363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant