Individual
JANA KUBRIN DICKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A79210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A792100
—
CA
Enumeration date
12/08/2006
Last updated
12/07/2020
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