DIANA MARIBEL PONCE

LOS ANGELES, CA
NPI1376255075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA67478)
Enumeration Date2022-12-14
Last Update Date2026-06-30
Business Address
DIANA MARIBEL PONCE PA
7910 ATLANTIC AVE SUITE M
LOS ANGELES, CA 90201
Phone number: 323-908-4200
Mailing Address
DIANA MARIBEL PONCE PA
4425 S CENTRAL AVE
LOS ANGELES, CA 90011-3629
Phone number: 323-908-4200
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