Individual
ALYSSA MARIE BOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028
(323) 993-7500
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA55847
CA
Other
Enumeration date
08/13/2018
Last updated
07/01/2024
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