Breister, Diana M

Breister, Diana M is an individual health care provider with primary practice located at 2275 Rio Bonito Way Suite 220, San Diego CA 92108-1685. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Breister, Diana M can be contacted via phone (619) 822-1667.

Contact Information

Primary practice address
2275 Rio Bonito Way Suite 220 San Diego CA 92108-1685
Phone: (619) 822-1667
Fax: (619) 684-1730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A55510 California

Profile Details

NPI number 1629050943
LBN Legal business name Breister, Diana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Feb 3rd, 2012 - about 12 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 1629050943 NPPES
Other 1396046454 NPI TYPE 2
MEDICAID 00A555101 NPI TYPE 2
Other A55510 NPI TYPE 2

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