Provider Demographics
NPI:1477866333
Name:AMAYA, AYLEIGH NELL (PA C)
Entity Type:Individual
Prefix:
First Name:AYLEIGH
Middle Name:NELL
Last Name:AMAYA
Suffix:
Gender:F
Credentials:PA C
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Mailing Address - Street 1:34800 BOB WILSON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-3300
Mailing Address - Country:US
Mailing Address - Phone:619-532-6666
Mailing Address - Fax:619-532-9955
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-3300
Practice Address - Country:US
Practice Address - Phone:619-532-6666
Practice Address - Fax:619-532-9955
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical