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Marina Vergilis, PA-C
Medical Physician Assistant in Marina Del Rey, California
NPI 1316143472

Marina Vergilis is a Medical Physician Assistant based in Tarzana, CA and is specialized in Medical. Marina Vergilis practices in Marina Del Rey, CA and has the professional credentials of PA-C. The NPI Number for Marina Vergilis is 1316143472 and holds a License No. PA18548 (California).

The current practice location address for Marina Vergilis is 13326 Maxella Ave, Marina Del Rey, CA and can be reached out via phone at 310-593-4119.

Location: 13326 Maxella Ave, Marina Del Rey, CA, 91356-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316143472
Provider Name
Marina Vergilis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13326 Maxella Ave, Marina Del Rey, CA, 91356-2804
Phone Number
310-593-4119
Fax Number
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13326 Maxella Ave
City
Marina Del Rey
State
California
Zip
90292-5639
Phone Number
310-593-4119
Fax Number
person
Provider Business Mailing Address Details
Address
13326 Maxella Ave
City
Marina Del Rey
State
California
Zip
90292-5639
Phone Number
310-593-4119
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18548 (California)
Definition
Definition to come...
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