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

Michael Hermansen, PA-C

Individual provider Physician Assistant · NPI 1528518073

Michael Hermansen, PA-C is a Physician Assistant in Los Alamitos, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3851 Katella Ave Ste 100
Los Alamitos, CA 90720-3385
Phone: (562) 424-5450
Fax: (562) 430-8687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 North Sepulveda Boulevard, Manhattan Beach, CA 90266 — (310) 379-2134

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence CA53910 (CA)

Record details

NPI number1528518073
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2016
Last updated in NPPESMay 9, 2019
Mailing address9209 Redbud Ln, Lenexa, KS 66220-3441

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