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Contact Information

OSMAN WAGILLA
2100 POWELL ST
SUITE 900
EMERYVILLE, CA94608-1826
 Phone: 510-350-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for OSMAN WAGILLA · (Male)

NPI Number 1013081496
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2006
Last updated 02/05/2008 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA18417
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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