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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. VIDA VICKERS, PHYSICIAN ASSISTANT

Active Sole Proprietor

MS. VIDA VICKERS, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in POMONA, California. NPI 1831493113 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · POMONA, CA

Registration Details

NPI Number
1831493113
Provider Type
Individual
Gender
Female
NPI Issued
Dec 31, 2010 (15.64571773989 yrs)
Last Updated
Dec 31, 2010
License
PA20543 (CA)
Sole Proprietor
Yes

Practice Information

Address
2112 S GAREY AVE STE C
POMONA, CA, 917665600
Browse CA providers · Browse ZIP 91766
Phone
9094640520
Fax
9094640523
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in POMONA, CA

Name Credential NPI
MR. MIGUEL ANGEL MEDINA PAC 1447232640
MRS. TRANG HUONG SPARKS PA 1780668178
FRANK PASTOR PA 1871530931
JAISON C FRAIZER PA-C 1073551263
ERIK LELAND SMITH P.A-C 1346284015
MS. CATHERINE CHANG LETHERER PA-C 1265476485
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.