Individual
ALLISON LESLIE DIAMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #365,120,214,420, LOS ANGELES, CA 90095-3075
(310) 206-6232
(310) 794-2113
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 794-0124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G78863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G788630
—
CA
Enumeration date
07/11/2006
Last updated
06/10/2010
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