Gina Rose Gastelum in Anaheim - Physician Assistant
Gina Rose Gastelum - NPI 1912946567
Gina Rose Gastelum is a Physician Assistant in Anaheim, California. Gina Rose Gastelum practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gina Rose Gastelum is 1912946567. The last update date is 2021-11-02.
Gina Rose Gastelum's current location address is 200 W Center Street Promenade Ste 300, Anaheim, California. You can contact this provider via phone number 7144494841 and fax number 7149376233. The mailing address for Gina Rose Gastelum is 200 W Center Street Promenade Ste 300, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Rose Gastelum |
|---|---|
| Address | 200 W Center Street Promenade Ste 300, Anaheim, California |
| Phone Number | 7144494841 |
| Fax Number | 7149376233 |
| Sole Proprietor | Y |
| Credentials | P.A.C. |
NPI Number Detail
| NPI Number | 1912946567 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
| Address | 200 W Center Street Promenade Ste 300 |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928053960 |
| Phone Number | 7144494841 |
| Fax Number | 7149376233 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15240 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA15240 | CA | -- |
Post Comment/ Review Below
What is the Gina Rose Gastelum's 1912946567?
The Gina Rose Gastelum's NPI (National Provider Identifier) Number is 1912946567. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gina Rose Gastelum's facilities are geographically located?
The facilities of Gina Rose Gastelum are physically situated at the following location: 200 W Center Street Promenade Ste 300, Anaheim, CA, 928053960.
What is Gina Rose Gastelum's area of expertise and its corresponding taxonomy classification?
The Gina Rose Gastelum's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did the Gina Rose Gastelum receive its 1912946567?
The Gina Rose Gastelum was issued its 1912946567 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Gina Rose Gastelum most recently updated or revised?
The details related to Gina Rose Gastelum, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-02.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH