Sandra Ileana Diaz O'Donnell, PA-C Valid NPI
Individual provider · Physician Assistant · Pasadena, CA
- NPI
- 1548223266
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA13219 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-04-11
- Last updated
- 2022-08-19
Practice location
401 S Fair Oaks Ave
Pasadena, CA 91105-2603
(626) 795-2244