Detomaso, Dianne Regina

Detomaso, Dianne Regina is an sole proprietor health care provider with primary practice located at 6666 Green Valley Cir , Culver City CA 90230-7068. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Detomaso, Dianne Regina can be contacted via phone (310) 305-8878.

Contact Information

Primary practice address
6666 Green Valley Cir Culver City CA 90230-7068
Phone: (310) 305-8878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265196638
LBN Legal business name Detomaso, Dianne Regina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2021
Last updated Oct 22nd, 2021 - about 4 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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