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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDIE WILLIS, PA-C

Active

EDIE WILLIS, PA-C is a Medical Physician Assistant healthcare provider located in LOS ANGELES, California. NPI 1356877328 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · LOS ANGELES, CA

Registration Details

NPI Number
1356877328
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2017 (9.2829663862018 yrs)
Last Updated
Mar 14, 2023
Licenses
008351 (GA)
PA62067 (CA)

Practice Information

Address
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA, 900335312
Browse CA providers · Browse ZIP 90033
Phone
3234425100
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in LOS ANGELES, CA

Name Credential NPI
RICHARD PRECIADO PA-C 1548263932
EDWARD LOTT PA 1023078201
VAHE ARABIAN PAC 1295799021
JAMES RAY MARTIN P.A. 1174574982
MS. ROBERTA JANE HUNT PA 1720034689
MS. KARLOTTA MAE MCKENZIE P.A. 1841230851
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.