Individual
AKVILE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 S FAIR OAKS AVE STE 270, PASADENA, CA 91105-2668
(424) 314-0177
(424) 314-0180
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60417
CA
363AS0400X
Surgical Physician Assistant
021485
NY
Other
Enumeration date
10/12/2017
Last updated
12/09/2022
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