Organization
DIAKONIA INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENZA MIJARES (REHABILITATION PRACTITIONER)
(951) 807-2833
Entity
Organization
Contact information
Practice address
5589 N RIVERSIDE AVE, RIALTO, CA 92377-3967
(909) 440-3115
Mailing address
5589 N RIVERSIDE AVE, RIALTO, CA 92377-3967
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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