Individual provider · Type 1 NPI

Quennisha Williamson

Medical Physician Assistant · South Gate, CA

NPI number 1811858293 Active

Practice location

8921 California Ave
South Gate, CA 90280-3013

Call (323) 487-5002 Map

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1811858293

Quennisha Williamson's National Provider Identifier is 1811858293, issued on Nov 24, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Gate, CA. The record was last updated on Nov 24, 2025.