Individual provider · Type 1 NPI

Phuong Anh Thi La, P.A.-C

Medical Physician Assistant · Riverside, CA

NPI number 1891865747 Active

Practice location

4646 Brockton Ave Ste 101
Riverside, CA 92506-0103

Fax (951) 774-2861

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA15064 (CA)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1891865747

Phuong Anh Thi La, P.A.-C's National Provider Identifier is 1891865747, issued on Nov 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Riverside, CA. The record was last updated on Aug 24, 2026.