Individual provider · Type 1 NPI

Yasaman Ashley Lajevardi, PA

Surgical Physician Assistant · Fresno, CA

NPI number 1144859158 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Call (559) 443-2682 Map

Fax (559) 443-2681

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X60508 (CA)
Surgical Physician Assistant Primary 363AS0400X60508 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1144859158

Yasaman Ashley Lajevardi, PA's National Provider Identifier is 1144859158, issued on Apr 2, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Jul 17, 2023.