Watanabe, Diane S

Watanabe, Diane S is an sole proprietor health care provider with primary practice located at 1900 Pico Blvd Smc Dept Of Athletics, Santa Monica CA 90405-1628. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Watanabe, Diane S can be contacted via phone (310) 434-4314.

Contact Information

Primary practice address
1900 Pico Blvd Smc Dept Of Athletics Santa Monica CA 90405-1628
Phone: (310) 434-4314
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 000080379

Profile Details

NPI number 1952721763
LBN Legal business name Watanabe, Diane S
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2014
Last updated Apr 19th, 2014 - 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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