Individual provider · Type 1 NPI

Wesley Gretah, PA

Surgical Physician Assistant · Los Angeles, CA

NPI number 1720528318 Active

Practice location

4650 W Sunset Blvd, Ms #69
Los Angeles, CA 90027-6062

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1720528318

Wesley Gretah, PA's National Provider Identifier is 1720528318, issued on Mar 1, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 6, 2017.