Individual provider · Type 1 NPI

Tiara Shelley

Physician Assistant · Los Angeles, CA

NPI number 1902760135 Active

Practice location

12021 Wilmington Ave Ste 300
Los Angeles, CA 90059-3019

Call (424) 454-6041 Map

Mailing address

4305 W 120th St Apt D
Hawthorne, CA 90250-3024

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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…

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About NPI 1902760135

Tiara Shelley's National Provider Identifier is 1902760135, issued on Dec 11, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 11, 2025.