Healthcare Provider Details

I. General information

NPI: 1982131660
Provider Name (Legal Business Name): EMIN ALEKSANI PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 07/23/2025
Certification Date: 07/15/2025
Deactivation Date: 09/15/2021
Reactivation Date: 02/16/2022

III. Provider practice location address

3160 E DEL MAR BLVD STE 110
PASADENA CA
91107-4601
US

IV. Provider business mailing address

1510 N KEYSTONE ST
BURBANK CA
91506
US

V. Phone/Fax

Practice location:
  • Phone: 818-468-1574
  • Fax:
Mailing address:
  • Phone: 818-468-1574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number60650
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2279P1006X
TaxonomyPulmonary Function Technologist Registered Respiratory Therapist
License Number34223
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: