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Search › California › Physician Assistant

Lee Mancilla, PA-C

NPI 1356526495 · on the registry since 2008

Practice

Address
1711 Ocean Park Blvd
Santa Monica, CA 90405
Phone
(310) 450-4773
Fax
(310) 450-0873
Clinicians at this address
11

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Medical Physician Assistant
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California