Individual provider · Type 1 NPI

Diba Izadyar, PA-C

Physician Assistant · Upland, CA

NPI number 1710520671 Active

Practice location

1100 San Bernardino Rd Ste 1100
Upland, CA 91786-4952

Fax (909) 981-5783

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X57199 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710520671

Diba Izadyar, PA-C's National Provider Identifier is 1710520671, issued on Oct 23, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Upland, CA. The record was last updated on Apr 20, 2022.