Individual
KATY DIBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ROSECRANS AVE # 3230, EL SEGUNDO, CA 90245-4749
(323) 628-8671
Mailing address
309 E 2ND ST, POMONA, CA 91766-1854
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
10/30/2023
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