Individual provider · Type 1 NPI

Jessica Jonell Lavoise, PA-C

Surgical Physician Assistant · Glendale, CA

NPI number 1811774276 Active

Practice location

1812 Verdugo Blvd
Glendale, CA 91208-1407

Call (818) 790-7100 Map

Mailing address

PO Box 50938
Los Angeles, CA 90074-0938

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X65726 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1811774276

Jessica Jonell Lavoise, PA-C's National Provider Identifier is 1811774276, issued on Sep 11, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glendale, CA. The record was last updated on Aug 4, 2026.