Individual
DIANA G ALVIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
520 W 17TH ST STE 1, SANTA ANA, CA 92706-3614
(714) 972-2727
(714) 972-1193
Mailing address
520 W 17TH ST STE 1, SANTA ANA, CA 92706-3614
(714) 972-2727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA62368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA62368
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
02/16/2023
Last updated
02/16/2023
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