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NPI Code Detail

MEDICARE: DIANA PEREZ DURAN

MEDICARE: DIANA PEREZ DURAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1023885662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA PEREZ DURAN
Provider Business Mailing Address
First Line : 9985 SIERRA AVE # MOB4
Second Line :
City : FONTANA
State : CA
Zip : 92335-6720
Country : US
Telephone Number : 909-427-5465
Fax Number :
Provider Business Practice Location Address
First Line : 9961 SIERRA AVE
Second Line :
City : FONTANA
State : CA
Zip : 92335-6720
Country : US
Telephone Number : 909-997-2645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2023
Last Update Date : 12/17/2025

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Directions to “ DIANA PEREZ DURAN ” Practice Location

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