Individual provider · Type 1 NPI

Jennifer Lew, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Los Angeles, CA

NPI number 1023190212 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

  • 280 S Main St, Ste 200, Orange, CA 92868-3852 · (714) 634-4567
  • 280 S Main St, Ste 200, Orange, CA 92868-3852 · (714) 634-4567

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA18196 (CA)
Surgical Physician Assistant Primary 363AS0400XPA18196 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1023190212

Jennifer Lew, PHYSICIAN ASSISTANT's National Provider Identifier is 1023190212, issued on Oct 19, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 7, 2018.