Individual
MRS. CAROLINE JO DIMATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 W CIVIC CENTER CLINIC, STE 120, SANTA ANA, CA 92703
(714) 835-8501
Mailing address
901 W CIVIC CENTER DR, SANTA ANA, CA 92703-2352
(714) 835-8501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54955
CA
Other
Enumeration date
04/29/2017
Last updated
01/06/2020
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