Healthcare Provider Details
I. General information
NPI: 1730595745
Provider Name (Legal Business Name): DIANET PINEDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/10/2014
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
725 W LA VETA AVE STE 260
ORANGE CA
92868-4439
US
IV. Provider business mailing address
8709 MAPLE ST
BELLFLOWER CA
90706-5513
US
V. Phone/Fax
- Phone: 714-771-8006
- Fax:
- Phone: 562-568-6895
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: