Provider Demographics
NPI:1255434197
Name:BROWN, ALISON ELKINS (PA-C)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:ELKINS
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5754 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-3216
Mailing Address - Country:US
Mailing Address - Phone:818-782-4626
Mailing Address - Fax:
Practice Address - Street 1:27875 SMYTH DR
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6063
Practice Address - Country:US
Practice Address - Phone:661-257-9999
Practice Address - Fax:661-294-0931
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA18080363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical