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

Individual provider Medical Physician Assistant · NPI 1770517799

Charese M Fannin, PA is a Medical Physician Assistant in Lynwood, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

3630 E Imperial Hwy
Lynwood, CA 90262-2678
Phone: (310) 900-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12007 (CA)

Record details

NPI number1770517799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESMay 6, 2015

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