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NPI Code Detail

MEDICARE: EMILY FISH PA-C

MEDICARE: EMILY FISH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant19307CA

General Provider Information

NPI Number : 1205027299
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY FISH PA-C
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5201 TRUXTUN AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0421
Country : US
Telephone Number : 661-328-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 02/03/2026

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Directions to “ EMILY FISH PA-C” Practice Location

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