Individual
DR. DIVYA KRISHNAMOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
762 CYPRESS ST, SAN DIMAS, CA 91773-3505
(909) 599-1227
(206) 299-9789
Mailing address
PO BOX 3222, RANCHO SANTA FE, CA 92067-3222
(206) 965-0030
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
C54901
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C54901
CA
Other
Enumeration date
07/17/2006
Last updated
02/12/2026
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