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

Kersey Fadduol

Individual provider Physician Assistant · NPI 1730838400

Kersey Fadduol is a Physician Assistant in Los Angeles, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1419 Ellsmere Ave
Los Angeles, CA 90019-3823
Phone: (805) 886-3148
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61229 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1730838400
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESDecember 22, 2023
Certification dateAugust 18, 2022

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