Healthcare Provider Details

I. General information

NPI: 1972143576
Provider Name (Legal Business Name): DIANA LUZ DAVID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 LOMITA BLVD STE 135
TORRANCE CA
90505-5100
US

IV. Provider business mailing address

24703 RAVENNA AVE
CARSON CA
90745-6441
US

V. Phone/Fax

Practice location:
  • Phone: 310-784-6952
  • Fax: 310-326-5679
Mailing address:
  • Phone: 310-819-5077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA185302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: