MISS Elise L. Diner, P.A.-C

NPI #1902237894 in El Segundo, California

Provider Information

NPI Number
1902237894
Entity Type
Individual
Name
MISS Elise L. Diner, P.A.-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.-C
Enumeration Date
Dec 3, 2013
Last Updated
Dec 9, 2019

Practice Location

Address
2040 E MARIPOSA AVE
ZIP Code
90245-5027
Phone
(310) 400-0645

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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