Dieppa, Fanny
Dieppa, Fanny is an individual health care provider with primary practice located at 12099 W Washington Blvd Ste 200 , Los Angeles CA 90066-2622. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Dieppa, Fanny can be contacted via phone (301) 751-1173.Contact Information
Primary practice address
12099 W Washington Blvd Ste 200
Los Angeles CA 90066-2622
Phone: (301) 751-1173
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | DATA ENTRY | California |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1205954989 |
|---|---|
| LBN Legal business name | Dieppa, Fanny |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Sep 24th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205954989 | NPPES |
| California | Other | PSIX455 | PROVIDER NUMBER |
| California | Other | C014257 | PROVIDER NUMBER |
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