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NPI Code Detail

MEDICARE: DIANE DEL POZO RN, PHN

MEDICARE: DIANE DEL POZO RN, PHN
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
1163WC1500XCommunity Health Registered Nurse95189364CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195189364OTHERCARN

General Provider Information

NPI Number : 1790414829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE DEL POZO RN, PHN
Provider Business Mailing Address
First Line : 1404 FRANKLIN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1404 FRANKLIN ST STE 200
Second Line :
City : OAKLAND
State : CA
Zip : 94612-3208
Country : US
Telephone Number : 510-891-8950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2022
Last Update Date : 06/06/2022

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