Individual
KIRILL LIPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9500
Mailing address
101 BUCKNELL AVE UNIT 310, CLAREMONT, CA 91711-4945
(818) 388-5093
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
65761
CA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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