Lookup NPI Numbers from the NPI Registry
NPI Profile for HALEY M ISSICHOPOULOS in PORTOLA VALLEY, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Otology & Neurotology |
207YX0901X | 04 | Physician/Otolaryngology | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1699288027 |
|
| Status | Active | |
| Credentials | MSM, PA-C | |
| Entity | Individual | |
| Enumeration date | 11/07/2017 | |
| Last updated | 05/10/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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HALEY M ISSICHOPOULOS
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HALEY M ISSICHOPOULOS, MSM, PA-C