Healthcare Provider Details

I. General information

NPI: 1568151512
Provider Name (Legal Business Name): DIANA FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11731 TELEGRAPH RD STE K
SANTA FE SPRINGS CA
90670-6815
US

IV. Provider business mailing address

11731 TELEGRAPH RD STE K
SANTA FE SPRINGS CA
90670-6815
US

V. Phone/Fax

Practice location:
  • Phone: 562-907-7429
  • Fax:
Mailing address:
  • Phone: 562-907-7429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW141653
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW96355
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW96355
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: