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NPI Code Detail

MEDICARE: DIA ENTERPRISES INC

MEDICARE: DIA ENTERPRISES INC
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
13336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15674064OTHERCANCPDP

General Provider Information

NPI Number : 1447113493
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIA ENTERPRISES INC
Provider Business Mailing Address
First Line : 7677 CENTER AVE STE 101
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3030
Country : US
Telephone Number : 657-400-9001
Fax Number : 657-400-9113
Provider Business Practice Location Address
First Line : 7677 CENTER AVE STE 101
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3030
Country : US
Telephone Number : 657-400-9001
Fax Number : 657-400-9113
Authorized Official
Title or Position : CEO/PRESIDENT
Name : RANJBARNIA AMIRMANSOUR
Credential :
Telephone Number : 657-400-9001
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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Directions to “DIA ENTERPRISES INC ” Practice Location

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