Individual
DR. EVANGELOS ARISTOTALES DIAMANTAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-9152
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-9152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019324
MI
207RC0000X
Cardiovascular Disease Physician
14860
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
14860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14860
OSTEOPATHIC MEDICINE PHYSICIAN LICENSE
CA
Enumeration date
08/31/2010
Last updated
03/07/2023
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