DIBA IZADYAR

UPLAND, CA
NPI1710520671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  57199)
Enumeration Date2019-10-23
Last Update Date2022-04-20
Business Address
DIBA IZADYAR PA-C
1100 SAN BERNARDINO RD STE 1100
UPLAND, CA 91786-4952
Phone number: 909-949-2242
Mailing Address
DIBA IZADYAR PA-C
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number:
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