Individual
DIODINIE G CEFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
309 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-3602
(310) 652-8404
(310) 652-7470
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT29490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29490
PT LICENSE
CA
Enumeration date
01/06/2011
Last updated
01/06/2011
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