Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARESE M FANNIN, PA
ActiveCHARESE M FANNIN, PA is a Medical Physician Assistant healthcare provider located in LYNWOOD, California. NPI 1770517799 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LYNWOOD, CA
Registration Details
- NPI Number
- 1770517799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2006 (20.064553955349 yrs)
- Last Updated
- May 6, 2015
- License
-
PA12007 (CA)
Practice Information
- Address
-
3630 EAST IMPERIAL HIGHWAYLYNWOOD, CA, 902622678Browse CA providers · Browse ZIP 90262
- Phone
- 3109008900
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LYNWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER BALDERRAMA | PA | 1649204470 |
| MONICA OVIEDO | PA | 1003974643 |
| JILBERT ABNOOSIAN | PA | 1447300314 |
| KATHRYN S. MORALES | PA-C | 1801934385 |
| MS. JUDITH SMITH | PA-C | 1174795777 |
| MR. EDGAR BURQUEZ | P.A. | 1922306042 |
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.