Trevino, Diana Maria

Trevino, Diana Maria is an individual health care provider with primary practice located at 200 Michigan Ave , Vista CA 92084-5424. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Trevino, Diana Maria can be contacted via phone (760) 726-4900.

Contact Information

Primary practice address
200 Michigan Ave Vista CA 92084-5424
Fax: (760) 726-6102
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 50201 California

Profile Details

NPI number 1235261850
LBN Legal business name Trevino, Diana Maria
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 18th, 2013 - about 11 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 1235261850 NPPES
California Other 1009 MEDI-CAL STAFF ID NUMBER

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