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1588939466
CARMEN G DIAZ
LOS ANGELES, CA
NPI
1588939466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 22144)
Enumeration Date
2012-03-12
Last Update Date
2012-03-22
Business Address
Ms. CARMEN G DIAZ PA-C
4920 AVALON BLVD
LOS ANGELES, CA 90011-4004
Phone number: 323-235-5035
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Mailing Address
Ms. CARMEN G DIAZ PA-C
PO BOX 1088
PARAMOUNT, CA 90723-1088
Phone number: 310-919-8209
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