Individual
MISS ALYSON ALEXIS IBE PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 N LAKE AVE, PASADENA, CA 91101-1220
(626) 794-5737
Mailing address
620 N LAKE AVE, PASADENA, CA 91101-1220
(626) 794-5737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55414
CA
Other
Enumeration date
11/07/2017
Last updated
02/23/2026
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