Individual
ALYSSA PANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12660 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3429
(818) 769-5998
(818) 769-5004
Mailing address
12660 RIVERSIDE DR, ST 325, STUDIO CITY, CA 91607
(818) 769-5998
(818) 769-5004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
10/24/2024
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