Abatecola, Diana Paula

Abatecola, Diana Paula is an sole proprietor health care provider with primary practice located at 3340 Kemper St Suite 105, San Diego CA 92110-4906. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Abatecola, Diana Paula can be contacted via phone (619) 523-8121.

Contact Information

Primary practice address
3340 Kemper St Suite 105 San Diego CA 92110-4906
Phone: (619) 523-8121
Fax: (619) 523-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RS9983 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1018751 California

Profile Details

NPI number 1699985531
LBN Legal business name Abatecola, Diana Paula
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Oct 20th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699985531 NPPES
California MEDICAID 37378100

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