Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Marie Bolter, MS, PA-C

Individual provider Physician Assistant · NPI 1457830150

Alyssa Marie Bolter, MS, PA-C is a Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1625 Schrader Blvd
Los Angeles, CA 90028
Phone: (323) 993-7500
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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 PA55847 (CA)

Record details

NPI number1457830150
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

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