Vanegas-Diaz, Lisa L

Vanegas-Diaz, Lisa L is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. 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. Vanegas-Diaz, Lisa L can be contacted via phone (909) 580-1000.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16546 California

Profile Details

NPI number 1326084583
LBN Legal business name Vanegas-Diaz, Lisa L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 27th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326084583 NPPES
California MEDICAID PA16546

Popular Providers