Individual
ALEXIS JANE LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2621 S BRISTOL ST STE 309, SANTA ANA, CA 92704-5719
(949) 720-1170
Mailing address
2621 S BRISTOL ST STE 309, SANTA ANA, CA 92704-5719
(949) 720-1170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65930
CA
Other
Enumeration date
02/19/2025
Last updated
03/11/2026
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