Decastro-Tilsen, Sally E.

Decastro-Tilsen, Sally E. is an individual health care provider with primary practice located at 400 Newport Center Dr Ste 701 , Newport Beach CA 92660-7608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Decastro-Tilsen, Sally E. can be contacted via phone (949) 759-8001.

Contact Information

Primary practice address
400 Newport Center Dr Ste 701 Newport Beach CA 92660-7608
Phone: (949) 759-8001
Fax: (949) 760-3671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 10296 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 10296 California

Profile Details

NPI number 1023282019
LBN Legal business name Decastro-Tilsen, Sally E.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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