Individual
DIEGO ANTONIO CONSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10929 SOUTH ST STE 208B, CERRITOS, CA 90703-5391
(562) 924-5526
Mailing address
10929 SOUTH ST STE 208B, CERRITOS, CA 90703-5391
(562) 924-5526
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
04/16/2025
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