Individual provider · Type 1 NPI
Marina Vergilis, PA-C
Medical Physician Assistant · Marina Del Rey, CA
NPI number
1316143472
Active
Practice location
13326 Maxella Ave, Unit 3
Marina Del Rey, CA 90292-5639
Mailing address
18370 Burbank Blvd, Suite 407
Tarzana, CA 91356-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA18548 (CA) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Marina Del Rey
About NPI 1316143472
Marina Vergilis, PA-C's National Provider Identifier is 1316143472, issued on Jun 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marina Del Rey, CA. The record was last updated on Jan 18, 2009.