Provider Demographics
NPI:1639885288
Name:WALIA, AARUSHI
Entity Type:Individual
Prefix:
First Name:AARUSHI
Middle Name:
Last Name:WALIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 E CAMELLIA WAY
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-1497
Mailing Address - Country:US
Mailing Address - Phone:626-353-2927
Mailing Address - Fax:
Practice Address - Street 1:626 E CAMELLIA WAY
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-1497
Practice Address - Country:US
Practice Address - Phone:626-353-2927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant