Individual
DIANA M NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16465 SIERRA LAKES PKWY, SUITE 250, FONTANA, CA 92336-1242
(909) 829-7337
Mailing address
16465 SIERRA LAKES PKWY, SUITE 250, FONTANA, CA 92336-1242
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A111440
CA
Other
Enumeration date
06/16/2008
Last updated
01/14/2014
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