Individual provider · NPI-1

Mariam Ajmaia, PA-C

Physician Assistant · Fresno, CA

NPI number1619893716
StatusActive
Last updated in NPPESAug 26, 2026

Details

NPI
1619893716
Entity type
Individual (NPI-1)
Name
Mariam Ajmaia
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2026
Certification date
Aug 26, 2026
Last updated
Aug 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant68613CAYes

Practice location

1570 E Herndon Ave
Fresno, CA 93720-3303

Phone 559-603-7241 · Fax 559-603-7242

Mailing address

Po Box 889442
Los Angeles, CA 90088-9442

Phone 559-603-7372 · Fax 559-451-3661

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