Individual
ISMAEL DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2822
Mailing address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A185815
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/24/2018
Last updated
07/02/2023
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