MEDICARE: DR. DIANA FOLMSBEE DMD

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
1	1223G0001X	General Practice Dentistry	53614	CA

General Provider Information

NPI Number	:	1548321979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA FOLMSBEE DMD

Provider Business Mailing Address
First Line	:	543 COUNTRY CLUB DR STE B-605
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-0637
Country	:	US
Telephone Number	:	805-890-2301
Fax Number	:	805-204-0973

Provider Business Practice Location Address
First Line	:	995 W 7TH ST
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-6757
Country	:	US
Telephone Number	:	805-890-2301
Fax Number	:	805-204-0973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/27/2025

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