Individual
DIANE H BEDROSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2067 W VISTA WAY STE 280, VISTA, CA 92083-6034
(760) 941-3630
(760) 941-3879
Mailing address
145 THUNDER DR, VISTA, CA 92083-6010
(760) 941-3630
(760) 941-1214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G70705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G707050
—
CA
Enumeration date
11/15/2006
Last updated
02/04/2015
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