Healthcare Provider Details

I. General information

NPI: 1730018011
Provider Name (Legal Business Name): DIANNA DIARYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 ANGELES VISTA BLVD
VIEW PARK CA
90043-1648
US

IV. Provider business mailing address

5300 ANGELES VISTA BLVD
VIEW PARK CA
90043-1648
US

V. Phone/Fax

Practice location:
  • Phone: 323-295-4555
  • Fax: 310-321-3492
Mailing address:
  • Phone: 323-295-4555
  • Fax: 310-321-3492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21675
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: