Maximillian Israel
Physician Assistant in Valencia, CA. Individual provider (NPI-1).
NPI number1982184669
StatusActive
Last updated in NPPESJun 15, 2026
Details
- NPI
- 1982184669
- Entity type
- Individual (NPI-1)
- Name
- Maximillian Israel
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2018
- Certification date
- Jun 15, 2026
- Last updated
- Jun 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
28212 Kelly Johnson Pkwy Ste 200Valencia, CA 91355-5090
Phone 213-228-3538
Mailing address
28212 Kelly Johnson Pkwy Ste 200Valencia, CA 91355-5090
Phone 213-228-3538
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