Individual
ANGELA JO COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9089 BASELINE RD, SUITE 100, RANCHO CUCAMONGA, CA 91730-1295
(909) 483-0505
(909) 483-0508
Mailing address
9089 BASELINE RD, SUITE 100, RANCHO CUCAMONGA, CA 91730-1295
(909) 483-0505
(909) 483-0508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S69264
UPIN
CA
Enumeration date
05/21/2007
Last updated
02/10/2014
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