Individual
GINA GRACE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
203 W F ST, SAN DIEGO, CA 92101-6016
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22073
CA
Other
Enumeration date
10/30/2007
Last updated
10/06/2025
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