SearchCaliforniaPhysician Assistant

Vida Vickers, PHYSICIAN ASSISTANT

NPI 1831493113 · on the registry since 2010 · sole proprietor

Practice

Address
2112 S Garey Ave Ste C
Pomona, CA 91766
Phone
(909) 464-0520
Fax
(909) 464-0523
Organisation at this address
St John Community Health Center
Feras And Hisham A Medical Corporation
Widodo & Lee Dds A Professional Dental Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California