Individual provider · Type 1 NPI

Amanda Vy-Lyn Ferguson, PA

Physician Assistant · Los Angeles, CA

NPI number 1114586112 Active

Practice location

814 Francisco St
Los Angeles, CA 90017-2530

Mailing address

1620 N Roosevelt Ave
Pasadena, CA 91104-1926

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA56863 (CA)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114586112

Amanda Vy-Lyn Ferguson, PA's National Provider Identifier is 1114586112, issued on Jun 12, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 12, 2019.