Individual provider · NPI-1

Jaedan Kaylee Alfiche

Physician Assistant, Medical · Stockton, CA

NPI number1831037688
StatusActive
Last updated in NPPESMar 23, 2026

Details

NPI
1831037688
Entity type
Individual (NPI-1)
Name
Jaedan Kaylee Alfiche
Sex
Female
Sole proprietor
No
Enumeration date
Mar 23, 2026
Certification date
Mar 23, 2026
Last updated
Mar 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical–CAYes

Practice location

10100 Trinity Pkwy
Stockton, CA 95219-7238

Phone 209-953-3710 · Fax 209-953-9199

Mailing address

10100 Trinity Pkwy
Stockton, CA 95219-7238

Phone 209-953-3710 · Fax 209-953-9199

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