Individual
DIEGO CENTENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(877) 515-8113
(877) 538-2102
Mailing address
14541 DELANO ST, VAN NUYS, CA 91411-2820
(877) 515-8113
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
95025780
CA
Other
Enumeration date
07/26/2023
Last updated
10/24/2024
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