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NPI Code Detail

MEDICARE: DIANE COMING

MEDICARE: DIANE COMING
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
11041C0700XClinical Social WorkerLCS 6006CA

General Provider Information

NPI Number : 1750316832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE COMING
Provider Business Mailing Address
First Line : 823 GATEWAY CENTER WAY
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-4541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2204 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-3615
Country : US
Telephone Number : 619-515-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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Directions to “ DIANE COMING ” Practice Location

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