Individual
ABBY CAPPADONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Mailing address
795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA23221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA23221
LICENSE NUMBER
CA
Enumeration date
10/17/2013
Last updated
12/30/2021
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