Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mgm Physician Assistant Inc

Organization Surgical Physician Assistant · NPI 1023871779

Mgm Physician Assistant Inc is a Surgical Physician Assistant in Riverside, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1525 3rd St Ste 205
Riverside, CA 92507-9000
Phone: (310) 810-6554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1023871779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Habeeb — Ceo · (951) 788-2224
Other names La Casa Wound Specialist
NPI enumeratedFebruary 5, 2024
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address1525 3rd St Ste 205, Riverside, CA 92507-9000

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