Individual
DIANA LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS, PA-C
Contact information
Practice address
760 WASHBURN AVE, SUITE 6, CORONA, CA 92882-3303
(951) 797-0910
Mailing address
760 WASHBURN AVE, SUITE 6, CORONA, CA 92882-3303
(951) 797-0910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA51971
CA
Other
Enumeration date
11/04/2014
Last updated
09/01/2015
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