Genevieve Laura Copenhagen
Genevieve Laura Copenhagen is a Physician Assistant in Oakland, California. Qualified in 2023, 3 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2024
Practice location Address checks out
3100 Telegraph AveOakland, CA 94609-3239
Phone: (800) 607-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1558124479 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 2, 2024 |
| Last updated in NPPES | February 2, 2024 |
| Certification date | February 2, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Sutter Bay Medical Foundation — 3762 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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Serena Corrales, PA-C
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Monica Maria Villafana Diaz, PA-C
3100 Telegraph Ave, Oakland, CA 94609-3239 · (800) 607-6377