Individual provider · Type 1 NPI

May Rose Villasin Kurniawan, PAC

Physician Assistant · Glendale, CA

NPI number 1609096742 Active

Practice location

225 W Broadway, Suite 100
Glendale, CA 91204-1331

Call (888) 727-1771 Map

Fax (818) 545-7606

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Other practice locations

  • 450 E Huntington Dr, Arcadia, CA 91006-3748 · (626) 462-1884

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X17543 (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…

6 other providers at this address

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About NPI 1609096742

May Rose Villasin Kurniawan, PAC's National Provider Identifier is 1609096742, issued on Apr 30, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, CA. The record was last updated on Jul 30, 2026.