MEDICARE: DIANA E PINEDA LCSW

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	1041C0700X	Clinical Social Worker	70212	CA
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1629108139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA E PINEDA LCSW

Provider Business Mailing Address
First Line	:	23701 MAIN ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-5745
Country	:	US
Telephone Number	:	310-816-5447
Fax Number	:

Provider Business Practice Location Address
First Line	:	23701 MAIN ST
Second Line	:
City	:	CARSON
State	:	CA
Zip	:	90745-5745
Country	:	US
Telephone Number	:	310-816-5447
Fax Number	:

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	03/16/2026

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Directions to “ DIANA E PINEDA LCSW” Practice Location

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