Individual
ANGELA ANDREA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
14362 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 337-0676
Mailing address
14362 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 337-0676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18169
CA
Other
Enumeration date
09/02/2006
Last updated
03/12/2015
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