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NPI Code Detail

MEDICARE: DIANA TRAD

MEDICARE: DIANA TRAD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134006596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA TRAD
Provider Business Mailing Address
First Line : 309 E 2ND ST
Second Line :
City : POMONA
State : CA
Zip : 91766-1854
Country : US
Telephone Number : 805-539-9095
Fax Number :
Provider Business Practice Location Address
First Line : 309 E 2ND ST
Second Line :
City : POMONA
State : CA
Zip : 91766-1854
Country : US
Telephone Number : 805-539-9095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 01/28/2026

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Directions to “ DIANA TRAD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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