Henderson, Diane Joyce
Henderson, Diane Joyce is an sole proprietor health care provider with primary practice located at 2300 S Flower St Suite 300, Los Angeles CA 90007-2660. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Henderson, Diane Joyce can be contacted via phone (213) 742-1433.Contact Information
Primary practice address
2300 S Flower St Suite 300
Los Angeles CA 90007-2660
Phone: (213) 742-1433
Fax: (213) 742-1496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | G22020 | California |
Profile Details
| NPI number | 1700989001 |
|---|---|
| LBN Legal business name | Henderson, Diane Joyce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700989001 | NPPES |
| California | Other | 00G220200 | MEDI-CAL NUMBER |
| California | Other | CGP168503 | MEDI-CAL NUMBER |
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