Polak-Gomez, Diane Kay

Polak-Gomez, Diane Kay is an sole proprietor health care provider with primary practice located at 2275 Parkview Ln , Chino Hills CA 91709-1768. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polak-Gomez, Diane Kay can be contacted via phone (909) 706-2740.

Contact Information

Primary practice address
2275 Parkview Ln Chino Hills CA 91709-1768
Phone: (909) 706-2740
Fax: (909) 591-8736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS15918 California

Profile Details

NPI number 1851696009
LBN Legal business name Polak-Gomez, Diane Kay
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2011
Last updated Jan 19th, 2011 - about 13 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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