Individual provider · Type 1 NPI

Alisa Fang, PA

Physician Assistant · Los Angeles, CA

NPI number 1972458719 Active

Practice location

590 N Vermont Ave
Los Angeles, CA 90004-2115

Call (323) 284-7998 Map

Mailing address

1501 Shaffer Ct
Brea, CA 92821-2729

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA67894 (CA)

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 1972458719

Alisa Fang, PA's National Provider Identifier is 1972458719, issued on Feb 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 26, 2026.