Individual provider · Type 1 NPI

Katy Dibene

Medical Physician Assistant · El Segundo, CA

NPI number 1578052916 Active

Practice location

2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749

Call (323) 628-8671 Map

Mailing address

309 E 2nd St
Pomona, CA 91766-1854

Other practice locations

  • 309 E 2nd St, Pomona, CA 91766-1854 · (909) 623-6116
  • 2430 Cardinal Dr Apt 25, San Diego, CA 92123-4128 · (714) 356-4789

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1578052916

Katy Dibene's National Provider Identifier is 1578052916, issued on May 1, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in El Segundo, CA. The record was last updated on Oct 30, 2023.