Healthcare Provider Details

I. General information

NPI: 1164336996
Provider Name (Legal Business Name): PAULA GINA SAWAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 N CAMDEN DR STE 1090
BEVERLY HILLS CA
90210-4434
US

IV. Provider business mailing address

433 N CAMDEN DR STE 1090
BEVERLY HILLS CA
90210-4434
US

V. Phone/Fax

Practice location:
  • Phone: 310-278-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA69096
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: