Mary Ishak, PA-C Valid NPI
Individual provider · Physician Assistant · Pasadena, CA
- NPI
- 1750014189
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA62835 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2022-07-04
- Last updated
- 2024-10-29
Practice location
625 S Fair Oaks Ave Ste 400
Pasadena, CA 91105-2684
(626) 568-1622