Provider Demographics
NPI:1033498332
Name:GIRON, GINA MARIE (PA)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:GIRON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:SACCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:6221 METROPOLITAN ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-3096
Mailing Address - Country:US
Mailing Address - Phone:760-753-7127
Mailing Address - Fax:760-334-0399
Practice Address - Street 1:6221 METROPOLITAN ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-3096
Practice Address - Country:US
Practice Address - Phone:760-753-7127
Practice Address - Fax:760-334-0399
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20916363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical