Provider Demographics
NPI:1376657650
Name:COMBS, DONALD STEVEN (PA,PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:STEVEN
Last Name:COMBS
Suffix:
Gender:M
Credentials:PA,PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24644 SHEPARDSON DR
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2716
Mailing Address - Country:US
Mailing Address - Phone:661-433-6321
Mailing Address - Fax:
Practice Address - Street 1:24644 SHEPARDSON DR
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2716
Practice Address - Country:US
Practice Address - Phone:661-433-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20245363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical