NPI 1073830089

Mario Corona, PA

Practitioner Medical Physician Assistant West Covina, CA

Practice location

Address: 714 N Orange Ave, West Covina, CA 91790-1101
Phone: (323) 265-3060

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA16239 (CA)

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Registry record

NPI: 1073830089
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2010
Record last updated: 29 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.