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NPI Code Detail

MEDICARE: ANGELA MARIE DIIENNO AMFT

MEDICARE: ANGELA MARIE DIIENNO AMFT
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
1106H00000XMarriage & Family TherapistAMFT162163CA

General Provider Information

NPI Number : 1790627719
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE DIIENNO AMFT
Provider Business Mailing Address
First Line : 980 BUSH ST APT 407
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-6364
Country : US
Telephone Number : 301-351-2174
Fax Number :
Provider Business Practice Location Address
First Line : 2154 BRODERICK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-1628
Country : US
Telephone Number : 301-351-2174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ ANGELA MARIE DIIENNO AMFT” Practice Location

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