SearchCalifornia235Z00000X

Mia Theis

NPI 1699402297 · on the registry since 2022

Practice

Address
10305 Promenade Pkwy
Elk Grove, CA 95757
Phone
(916) 688-2000
Organisation at this address
Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-19

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