Individual
SACHI LYNNE EZAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
147 W COLLEGE ST, COVINA, CA 91723-2008
(626) 332-2860
(626) 967-3300
Mailing address
1232 CAMINO DEL SUR, SAN DIMAS, CA 91773-4404
(310) 869-1465
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 14712
CA
Other
Enumeration date
11/05/2006
Last updated
10/22/2015
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