Individual provider · NPI-1

Lidia Alvarez

Physician Assistant · Pomona, CA

NPI number1477004265
StatusActive
Last updated in NPPESOct 11, 2024

Details

NPI
1477004265
Entity type
Individual (NPI-1)
Name
Lidia Alvarez
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2016
Certification date
Oct 11, 2024
Last updated
Oct 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–CAYes
171M00000X Case Manager/Care Coordinator––

Practice location

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-623-6116

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

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