Individual provider · Type 1 NPI

Gary Dewayne Wiley Jr., PA-C

Physician Assistant · Marina Del Rey, CA

NPI number 1427885656 Active

Practice location

4011 Via Marina Apt 107
Marina Del Rey, CA 90292-8201

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA65066 (CA)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1427885656

Gary Dewayne Wiley Jr., PA-C's National Provider Identifier is 1427885656, issued on Sep 19, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Marina Del Rey, CA. The record was last updated on Sep 27, 2024.