Individual
MARIO CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P-A
Contact information
Practice address
714 N ORANGE AVE, WEST COVINA, CA 91790-1101
(323) 265-3060
Mailing address
714 N ORANGE AVE, WEST COVINA, CA 91790-1101
(323) 265-3060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16239
CA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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