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

Alyssa Codilla Soriano

Individual provider Medical Physician Assistant · NPI 1366254633

Alyssa Codilla Soriano is a Medical Physician Assistant in Carson, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
3

Practice location Address checks out

1000 E Dominguez St Ste 110
Carson, CA 90746-3615
Phone: (310) 830-4561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 636 Broadway Ste 25, San Diego, CA 92101-5404 — (888) 538-2159

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1366254633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 23, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address1000 E Dominguez St Ste 110, Carson, CA 90746-3615

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