Individual provider · Type 1 NPI

Nicole Gentry, P.A.

Physician Assistant · Redondo Beach, CA

NPI number 1619017704 Active

Practice location

2114 Artesia Blvd
Redondo Beach, CA 90278-3014

Call (310) 802-6177 Map

Fax (310) 802-6178

Mailing address

23430 Hawthorne Blvd, Bldg. 3, Suite 210
Torrance, CA 90505-4720

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA16112 (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 1619017704

Nicole Gentry, P.A.'s National Provider Identifier is 1619017704, issued on Feb 7, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Redondo Beach, CA. The record was last updated on Jul 8, 2007.