Provider Demographics
NPI:1053990051
Name:OKAZAKI, ALYSZA KRISTINE PERMALINO (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALYSZA KRISTINE
Middle Name:PERMALINO
Last Name:OKAZAKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ALYSZA KRISTINE
Other - Middle Name:URETA
Other - Last Name:PERMALINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2467
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1700 E CESAR E CHAVEZ AVE STE 1400
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2467
Practice Address - Country:US
Practice Address - Phone:323-307-8913
Practice Address - Fax:323-881-8645
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2022-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant