Reveles, Diana

Reveles, Diana is an individual health care provider with primary practice located at 3711 Long Beach Blvd Ste 500 , Long Beach CA 90807-3319. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Reveles, Diana can be contacted via phone (562) 216-2179.

Contact Information

Primary practice address
3711 Long Beach Blvd Ste 500 Long Beach CA 90807-3319
Phone: (562) 216-2179
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1041C0700X California

Profile Details

NPI number 1295863355
LBN Legal business name Reveles, Diana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 28th, 2010 - about 14 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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