Individual
THAO DINH TOMCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
341 MAGNOLIA AVE STE 201, CORONA, CA 92879-3332
(951) 371-6979
(951) 371-5830
Mailing address
16118 SKYRIDGE DR, RIVERSIDE, CA 92503-5578
(714) 624-5753
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51783
CA
Other
Enumeration date
08/14/2014
Last updated
11/19/2019
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