Individual
MRS. JAMIE MARIE CORDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
70 S LAKE AVE STE 930, PASADENA, CA 91101-4938
(626) 514-1472
(213) 408-4414
Mailing address
70 S LAKE AVE STE 930, PASADENA, CA 91101-4938
(626) 514-1472
(213) 408-4414
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18018
—
CA
Enumeration date
10/03/2006
Last updated
02/17/2025
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