Sally E. Decastro-Tilsen, P.A.

NPI #1023282019 in Newport Beach, California

Provider Information

NPI Number: 1023282019
Entity Type: Individual
Name: Sally E. Decastro-Tilsen, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 400 NEWPORT CENTER DR STE 701
City: Newport Beach
State: California
ZIP Code: 92660-7608
Phone: (949) 759-8001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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