Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Nicole Koenig, PA

Individual provider Physician Assistant · NPI 1215743992

Alexis Nicole Koenig, PA is a Physician Assistant in Huntington Beach, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

703 California St
Huntington Beach, CA 92648-4715
Phone: (801) 935-0105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65862 (CA)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1215743992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

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