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NPI Code Detail

MEDICARE: OCHUKO G DIAMREYAN,MD. INC

MEDICARE: OCHUKO G DIAMREYAN,MD. 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
12084P0800XPsychiatry PhysicianA66432CA

General Provider Information

NPI Number : 1750423489
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCHUKO G DIAMREYAN,MD. INC
Provider Business Mailing Address
First Line : 2380 NORTH SIERRA WAY
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-3546
Country : US
Telephone Number : 909-886-7475
Fax Number : 909-886-7305
Provider Business Practice Location Address
First Line : 2380 NORTH SIERRA WAY
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-3546
Country : US
Telephone Number : 909-886-7475
Fax Number : 909-886-7305
Authorized Official
Title or Position : PRESIDENT
Name : DR. OCHUKO GREGSON DIAMREYAN
Credential : MD
Telephone Number : 909-886-7475
Provider Enumeration Date : 02/12/2007
Last Update Date : 07/15/2009

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