Individual
DR. DIANA JANE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A86157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A861570
—
CA
05
—
03304277
—
MS
05
—
210589001
—
AR
05
—
Q016396
—
TN
Enumeration date
08/05/2006
Last updated
08/23/2019
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