Individual
GINO PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CENTURY PARK E STE 1005, LOS ANGELES, CA 90067-2013
(951) 514-9905
Mailing address
1265 WELCH RD STE 100, STANFORD, CA 94305-5102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA66432
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2023
Last updated
08/15/2025
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