Alisa Wang is a Physician Assistant in Aliso Viejo, California. Alisa Wang practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alisa Wang is 1396968152. The last update date is 2022-06-14.
Alisa Wang's current location address is 24541 Pacific Park Dr, Aliso Viejo, California. You can contact this provider via phone number 9498313057 and fax number 9498312515. The mailing address for Alisa Wang is 24541 Pacific Park Dr, Aliso Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa Wang |
|---|---|
| Address | 24541 Pacific Park Dr, Aliso Viejo, California |
| Phone Number | 9498313057 |
| Fax Number | 9498312515 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396968152 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2022-06-14 |
Provider Mailing Address Detail
| Address | 24541 Pacific Park Dr |
|---|---|
| City | Aliso Viejo |
| State | California (CA) |
| Post Code | 926563065 |
| Phone Number | 9498313057 |
| Fax Number | 9498312515 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 18266 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Alisa Wang by the Centers for Medicare & Medicaid Services (CMS)?
The Alisa Wang has been assigned the NPI (National Provider Identifier) 1396968152. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Alisa Wang located?
The Alisa Wang is located at 24541 Pacific Park Dr, Aliso Viejo, CA 926563065.
What is the area of specialization for Alisa Wang, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alisa Wang is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Alisa Wang receive its 1396968152 assignment from the Centers for Medicare & Medicaid Services?
The Alisa Wang was assigned its 1396968152 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Alisa Wang most recently updated or revised?
The information pertaining to Alisa Wang, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-14.
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