Basic Information
Provider Information
NPI: 1225141047
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKIN
FirstName: PAULA
MiddleName: L.
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 DATA DR
Address2:  
City: RANCHO CORDOVA
State: CA
PostalCode: 956707956
CountryCode: US
TelephoneNumber: 9163792726
FaxNumber: 9168537874
Practice Location
Address1: 3000 Q ST FL 5
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958167058
CountryCode: US
TelephoneNumber: 9167333350
FaxNumber: 9167333379
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 03/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X20A6881CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
07675601CAHEALTH NETOTHER
00081062313801CAPHCSOTHER
344989401CACIGNAOTHER
00AX6881005CA MEDICAID
119635901CAGREAT WESTOTHER
725608901CAAETNAOTHER
9011080801CAPACIFICAREOTHER
20A688101CABLUE CROSSOTHER
173618501CAFIRST HEALTHOTHER
MCMG35810001CAWESTERN HEALTH ADVANTAGEOTHER
4574401CAINTERPLANOTHER
020A6881001CABLUE SHIELDOTHER


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