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

Mrs. May Rose Villasin Kurniawan, PAC

Individual provider Physician Assistant · NPI 1609096742

Mrs. May Rose Villasin Kurniawan, PAC is a Physician Assistant in Glendale, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

225 W Broadway Ste 100
Glendale, CA 91204-1331
Phone: (888) 727-1771
Fax: (818) 545-7606
Show map & directions

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

Additional practice locations (1)

  • 450 E Huntington Dr, Arcadia, CA 91006-3748 — (626) 462-1884

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 17543 (CA)

Record details

NPI number1609096742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedApril 30, 2007
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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