MS. LOUISA LINSLEY MUNGER


Address: 7100 Redwood Blvd Ste 200, Novato, CA 94945-4110
Phone: 4159275300

MS. LOUISA LINSLEY MUNGER (NPI# 1598874653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598874653
Entity Type Individual
Full Name MS. LOUISA LINSLEY MUNGER
Credential PA-C
Practice Address 7100 Redwood Blvd Ste 200
Novato
CA 94945-4110
Mailing Address Po Box 5430
West Hills
CA 91308-5430
Practice Telephone 4159275300
Mailing Telephone 8183400265
Mailing Fax Number 8183400243
Enumeration Date 2006-08-30
Last Update Date 2020-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant PA17524 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
17524 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA MH0157001 01
CA LICENSE PA17524 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3901 Las Posas Rd Ste 4, Camarillo, CA 930101502 8055855166 8053831786

Office Location

Street Address 7100 REDWOOD BLVD STE 200
City NOVATO
State CA
Zip Code 94945-4110

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124639943 Joseph Francis Bielefeld Nurse Practitioner Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 2020-08-14
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1932601648 Dawn Cheree Holiday-bruner Marriage & Family Therapist 6965 Redwood Blvd, Novato, CA 94945 2018-03-08
1558789545 Kristi Marie Hudson Marriage & Family Therapist 7250 Redwood Blvd., Suite 300, Novato, CA 94945 2014-04-07
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1255508453 Renew Physical Therapy PC Clinic/Center 1427 Grant Ave, Novato, CA 94945 2008-05-15
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1528250735 Susan Jean Arndt Counselor 505-a San Marin Drive Suite 150, Novato, CA 94945 2007-08-11
1588871735 Margaret Carol Pappas Registered Nurse 1025 Fifth Street, Novato, CA 94945 2007-05-17
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356410880 Rhiarose Magbitang Dec Physician Assistant 7100 Redwood Blvd, Suite 200, Novato, CA 94945-4110 2006-11-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1508333873 Andrew Cantos Malit Physician Assistant 409 Bristol Way, Corona, CA 92879-6156 2018-10-25
1578049458 Ida Jelveh Physician Assistant 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 2018-07-13
1356833578 Michael James Gonzalez Physician Assistant 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 2018-06-04
1023500592 Pamela Lambert Pa-c, Inc. Physician Assistant 16105 Mariposa Ave, Riverside, CA 92504-8730 2018-05-31
1225532385 Folsom Physicain Assistant First Assist, Inc Physician Assistant Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 2018-03-22
1275040008 Gm Surgical Assistant Inc Physician Assistant 15615 Turnberry St, Moreno Valley, CA 92555-4901 2018-01-02
1902311186 Or Solutions Inc Physician Assistant 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 2017-12-09
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Competitor

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City NOVATO
Zip Code 94945

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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