Stafford, Diana
Stafford, Diana is an sole proprietor health care provider with primary practice located at 2212 Placentia Ave , Costa Mesa CA 92627-7500. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stafford, Diana can be contacted via phone (949) 646-2271.Contact Information
Primary practice address
2212 Placentia Ave
Costa Mesa CA 92627-7500
Phone: (949) 646-2271
Fax: (949) 646-1211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C3791214 | California |
Profile Details
| NPI number | 1659638039 |
|---|---|
| LBN Legal business name | Stafford, Diana |
| Credentials | COUNSELOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2012 |
| Last updated | May 8th, 2020 - about 4 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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