Provider Demographics
NPI:1598056392
Name:GRINDLE, SILVIA SUSANA (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:SILVIA
Middle Name:SUSANA
Last Name:GRINDLE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:13525 MIDLAND RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4771
Mailing Address - Country:US
Mailing Address - Phone:858-486-9100
Mailing Address - Fax:858-486-9101
Practice Address - Street 1:13525 MIDLAND RD
Practice Address - Street 2:SUITE F
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4771
Practice Address - Country:US
Practice Address - Phone:858-486-9100
Practice Address - Fax:858-486-9101
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA21499363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant