SearchCaliforniaPhysician Assistant

Lisa Dimodica, PA

NPI 1669617015 · on the registry since 2008

Practice

Address
47 Santa Rosa St
San Luis Obispo, CA 93405
Phone
(805) 542-9596
Organisation at this address
Heal The Brain With Jane
Family & Industrial Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-12-12

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