Physician Assistant
ODYZZA CENTRO PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1104583947 · enumerated 2021-11-28 · record updated 2023-03-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 8081 INNOVATION PARK DR STE 500, FAIRFAX, VA, 22031-4867 (571) 472-7040 Fax (571) 472-7041 Google Maps Apple Maps OpenStreetMap
- Mailing address 121 CONGRESSIONAL LN STE 409, ROCKVILLE, MD, 20852-1542 (301) 881-0230 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License C0008268 MD
- Physician Assistant 363A00000X · Primary · License 0110008245 VA
In this directory
Locations and evidence
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Practice location
FAIRFAX, VA, 220314867
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.