Healthcare Provider Details

I. General information

NPI: 1457592768
Provider Name (Legal Business Name): DIONE PARAS RN, PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 TERMINO AVE STE. 300
LONG BEACH CA
90804-2105
US

IV. Provider business mailing address

7269 EL CERRO DR
BUENA PARK CA
90620-1768
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-6900
  • Fax: 562-933-6922
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number18534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: