Individual
DR. DIANE MARIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 TORRANCE BLVD, REDONDO BEACH, CA 90277-3413
(310) 792-3647
Mailing address
3009 WALNUT AVE, MANHATTAN BEACH, CA 90266-2412
(310) 418-3266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G079787
CA
Other
Enumeration date
06/15/2006
Last updated
11/29/2021
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