| Doctor Name: | MS. KIRSTEN PINA TALLMON |
| NPI Number: | 1073695946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA16097 |
| Business Practice Address: | 1500 E Duarte Rd Duarte, CA - 91010 |
| Business Phone Number: | 6267417100 |
| Business Fax Number: | 6263018125 |
| Mailing Address: | Po Box 5063, MONROVIA |
| State: | CA |
| Postal Code: | 910177163 |
| Phone Number: | 6267753200 |
| Fax Number: | 6267753271 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 04/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA16097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |