Individual provider · Type 1 NPI

Jennifer Kaori Fukasawa-Lara, PA-C

Physician Assistant · Banning, CA

NPI number 1477093714 Active

Practice location

600 N Highland Springs Ave
Banning, CA 92220-3046

Call (951) 845-1121 Map

Mailing address

38905 Vista Dr
Cathedral City, CA 92234-2156

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA54259 (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 1477093714

Jennifer Kaori Fukasawa-Lara, PA-C's National Provider Identifier is 1477093714, issued on Mar 6, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Banning, CA. The record was last updated on Nov 12, 2020.