Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1023309036 |
---|---|
Provider Name | Mrs. Diana Sanchez-Becerra |
First Address | View Park, CA 90008-5109 |
Second Address | Fullerton, CA 92831-3846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2011 |
Last Update Date | 17/08/2020 |