Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | G58250 | CA |
N | 207Q00000X | Family Doctor | G58250 | CA |
NPI | 1154489904 |
---|---|
Provider Name | Dr. Diana Maria Accinelli |
First Address | Truckee, CA 96162-0510 |
Second Address | Truckee, CA 96161-0510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 13/01/2014 |