Diamond, Ira A
Diamond, Ira A is an sole proprietor health care provider with primary practice located at 425 W Bonita Ave Ste 110 , San Dimas CA 91773-2543. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Public Medicine, which is considered as his primary health care specialty. Diamond, Ira A can be contacted via phone (909) 599-0981.Contact Information
Primary practice address
425 W Bonita Ave Ste 110
San Dimas CA 91773-2543
Phone: (909) 599-0981
Fax: (909) 592-0738
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | E2340 | California |
Profile Details
NPI number | 1295878247 |
---|---|
LBN Legal business name | Diamond, Ira A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 15th, 2007 |
Last updated | Apr 15th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295878247 | NPPES |
California | MEDICAID | 000E23400 |
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