Nugent, Diane

Nugent, Diane is an individual health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Nugent, Diane can be contacted via phone (714) 532-8744.

Contact Information

Primary practice address
455 S Main St Orange CA 92868-3835
Phone: (714) 532-8744
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G075931 California
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G075931 California

Profile Details

NPI number 1770528663
LBN Legal business name Nugent, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jun 1st, 2022 - about 2 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 1770528663 NPPES
California MEDICAID GR0053510
California MEDICAID 00G759310

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