Healthcare Provider Details

I. General information

NPI: 1548176118
Provider Name (Legal Business Name): DIANA DURAN RDCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5251 VIEWRIDGE CT
SAN DIEGO CA
92123-1612
US

IV. Provider business mailing address

376 CENTER ST UNIT 142
CHULA VISTA CA
91910-3819
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 619-662-5852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number119173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: