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General NPI Number Information
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NPI Number | 1427565001
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Entity Type | Individual
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Provider Name | DIANNE MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 855 THIRD AVE #3340
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City | CHULA VISTA
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State | CA
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Zip | 91911-1911
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Country | US
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Telephone | 619-427-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 7556 GOODE ST
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City | SAN DIEGO
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State | CA
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Zip | 92139-1337
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Country | US
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Telephone | 619-274-2313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95007838
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License Number State | CA
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