Diana, Laura

Diana, Laura is an individual health care provider with primary practice located at 65 Neilson St Ste 101 , Watsonville CA 95076-2491. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Diana, Laura can be contacted via phone (831) 786-1457.

Contact Information

Primary practice address
65 Neilson St Ste 101 Watsonville CA 95076-2491
Phone: (831) 786-1457
Fax: (831) 786-1458
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207VC0200X G075508 California

Profile Details

NPI number 1720119860
LBN Legal business name Diana, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720119860 NPPES
California Other 00G755080 MEDI-CAL

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