Revital Ahl Valid NPI

Individual provider · Physician Assistant · Encino, CA

NPI

1538769062

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

58759 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2020-10-26

Last updated

2020-10-26