Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | C51983 | CA |
N | 2081P2900X | Pain Medicine | C51983 | CA |
Y | 2081S0010X | Sports Medicine | C51983 | CA |
Y | 213ES0000X | Sports Medicine | C51983 | CA |
NPI | 1205919008 |
---|---|
Provider Name | Dr. Diokson Rena |
First Address | San Francisco, CA 94102-1120 |
Second Address | San Francisco, CA 94102-1120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 07/11/2018 |