O'Donnell, Sandra Ileana Diaz

O'Donnell, Sandra Ileana Diaz is an individual health care provider with primary practice located at 401 S Fair Oaks Ave , Pasadena CA 91105-2603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. O'Donnell, Sandra Ileana Diaz can be contacted via phone (626) 795-2244.

Contact Information

Primary practice address
401 S Fair Oaks Ave Pasadena CA 91105-2603
Phone: (626) 795-2244
Fax: (626) 795-7441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13219 California

Profile Details

NPI number 1548223266
LBN Legal business name O'Donnell, Sandra Ileana Diaz
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Aug 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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