Individual
DIANA M FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
420 S GLENDORA AVE, WEST COVINA, CA 91790-3001
(626) 919-4333
Mailing address
407 W IMPERIAL HWY STE H, BREA, CA 92821-4803
(626) 480-5243
(626) 813-2144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA201113
CA
Other
Enumeration date
01/27/2009
Last updated
12/02/2021
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