Individual
EBTESAM GERGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 L ST STE 600, SACRAMENTO, CA 95816-5616
(916) 887-4040
(916) 887-4045
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
(916) 854-6769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57267
CA
Other
Enumeration date
08/13/2019
Last updated
07/24/2026
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