Healthcare Provider Details

I. General information

NPI: 1700916129
Provider Name (Legal Business Name): DIANE CAROL HALL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E VALLEY PKWY
ESCONDIDO CA
92025-3008
US

IV. Provider business mailing address

600 E VALLEY PKWY
ESCONDIDO CA
92025-3008
US

V. Phone/Fax

Practice location:
  • Phone: 760-740-4000
  • Fax:
Mailing address:
  • Phone: 760-740-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number231882
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number231882
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: