IndividualActive
Alyssa Maskell, AGPCNP-BC
NPI 1619642634 · Gerontology Nurse Practitioner · Los Angeles, CA
Provider details
- NPI number
- 1619642634
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95139717 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
127 S San Vicente Blvd
Los Angeles, CA 90048-3311
Phone: (310) 423-1160
Fax: (310) 423-4646
Approximate (ZIP-level) locationGet directions
Mailing address
4140 W 190th St
Torrance, CA 90504-5513
Registry dates
- Enumerated
- 2021-08-11
- Last updated
- 2022-07-05
- Certified
- 2022-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.