Individual
DIANE MARIE SIMEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3855 HEALTH SCIENCES DR, LA JOLLA, CA 92093-4744
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301053273
MI
208600000X
Surgery Physician
G195633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3169854
—
MI
Enumeration date
09/25/2006
Last updated
09/11/2024
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