Provider Demographics
NPI:1225141047
Name:AKIN, PAULA L (DO)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:L
Last Name:AKIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:916-379-2726
Mailing Address - Fax:916-853-7874
Practice Address - Street 1:3000 Q ST FL 5
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3350
Practice Address - Fax:916-733-3379
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6881207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA076756OtherHEALTH NET
CA000810623138OtherPHCS
CA3449894OtherCIGNA
CA00AX68810Medicaid
CA1196359OtherGREAT WEST
CA7256089OtherAETNA
CA90110808OtherPACIFICARE
CA20A6881OtherBLUE CROSS
CA1736185OtherFIRST HEALTH
CAMCMG358100OtherWESTERN HEALTH ADVANTAGE
CA45744OtherINTERPLAN
CA020A68810OtherBLUE SHIELD
CA45744OtherINTERPLAN
CA00AX68810Medicaid