Individual provider · Type 1 NPI

Sachi Lynne Ezaki, PA-C

Medical Physician Assistant · Covina, CA

NPI number 1821177254 Active

Practice location

147 W College St
Covina, CA 91723-2008

Call (626) 332-2860 Map

Fax (626) 967-3300

Mailing address

1232 Camino Del Sur
San Dimas, CA 91773-4404

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 14712 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1821177254

Sachi Lynne Ezaki, PA-C's National Provider Identifier is 1821177254, issued on Nov 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Covina, CA. The record was last updated on Oct 22, 2015.