Individual
ALYSSA WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4457
Mailing address
288 CABRILLO ST # B, COSTA MESA, CA 92627-3150
(714) 767-3134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52774
CA
Other
Enumeration date
09/05/2015
Last updated
09/05/2015
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