Marissa Lee Fawwaz
Marissa Lee Fawwaz is a Surgical Physician Assistant in Hollister, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
890 Sunset Dr Ste A-2AHollister, CA 95023-5651
Phone: (831) 635-9788
Fax: (831) 635-9680
Show map & directions
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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 PA64967 (CA) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA64967 (CA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1578324919 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 23, 2024 |
| Last updated in NPPES | January 15, 2026 |
| Certification date | January 15, 2026 |