Provider Demographics
NPI:1972734341
Name:KAY, ALIA SARAH (MPAS PA-C)
Entity Type:Individual
Prefix:MS
First Name:ALIA
Middle Name:SARAH
Last Name:KAY
Suffix:
Gender:F
Credentials:MPAS PA-C
Other - Prefix:MRS
Other - First Name:ALIA
Other - Middle Name:SARAH
Other - Last Name:TRAINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPAS PA-C
Mailing Address - Street 1:201 S. BUENA VISTA ST.
Mailing Address - Street 2:#420
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505
Mailing Address - Country:US
Mailing Address - Phone:818-238-2550
Mailing Address - Fax:818-238-2351
Practice Address - Street 1:201 S. BUENA VISTA ST.
Practice Address - Street 2:#420
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505
Practice Address - Country:US
Practice Address - Phone:818-238-2550
Practice Address - Fax:818-238-2351
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA-20173363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant