Felipe De Jesus Coronado, PA-C Valid NPI
Individual provider · Physician Assistant · Diamond Bar, CA
- NPI
- 1508920059
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 55499 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-20
- Last updated
- 2023-11-24
Practice location
1111 Grand Ave Ste K
Diamond Bar, CA 91765-4172
(909) 860-4254