Irving, Diana Rose

Irving, Diana Rose is an sole proprietor health care provider with primary practice located at 126 Avocado Ave Suite 103, Perris CA 92571-2605. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Irving, Diana Rose can be contacted via phone (951) 392-0632.

Contact Information

Primary practice address
126 Avocado Ave Suite 103 Perris CA 92571-2605
Phone: (951) 392-0632
Fax: (888) 850-7657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 11054 California

Profile Details

NPI number 1780790485
LBN Legal business name Irving, Diana Rose
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Oct 3rd, 2016 - about 8 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 1780790485 NPPES
California Other HR2892 MEDICARE PTAN

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