Individual provider · Type 1 NPI

Gina Laura Wachutka, PA-C

Surgical Physician Assistant · Oakland, CA

NPI number 1902253974 Active

Practice location

275 W Macarthur Blvd, Suite 17
Oakland, CA 94611-5641

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X53269 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902253974

Gina Laura Wachutka, PA-C's National Provider Identifier is 1902253974, issued on May 19, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oakland, CA. The record was last updated on Jan 11, 2022.