Individual provider · Type 1 NPI
Amanda Pettus, PA-C
Surgical Physician Assistant · Pasadena, CA
NPI number
1144692237
Active
Practice location
836 S Arroyo Pkwy
Pasadena, CA 91105-3212
Mailing address
20425 Sorrento Ln Apt 101
Porter Ranch, CA 91326-4582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 53292 (CA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Pasadena
About NPI 1144692237
Amanda Pettus, PA-C's National Provider Identifier is 1144692237, issued on Oct 28, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pasadena, CA. The record was last updated on Mar 19, 2016.