Individual
AISHWARYA YAGNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-0811
(951) 243-2075
Mailing address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-0811
(951) 243-2075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23116
PHYSICIAN ASSISTANT BOARD
CA
Enumeration date
06/18/2012
Last updated
05/12/2020
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