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NPI Code Detail

MEDICARE: DIA ENTERPRISES INC

MEDICARE: DIA ENTERPRISES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1437755410
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIA ENTERPRISES INC
Provider Business Mailing Address
First Line : 7677 CENTER AVE STE 101
Second Line : STE 101
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3030
Country : US
Telephone Number : 657-400-9001
Fax Number : 657-400-9113
Provider Business Practice Location Address
First Line : 7677 CENTER AVE STE 101
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-3030
Country : US
Telephone Number : 657-400-9001
Fax Number : 657-400-9113
Authorized Official
Title or Position : CEO/OWNER
Name : AMIRMANSOUR RANJBARNIA
Credential :
Telephone Number : 657-400-9001
Provider Enumeration Date : 12/07/2020
Last Update Date : 05/06/2026

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Directions to “DIA ENTERPRISES INC ” Practice Location

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