Individual
DIANA PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., M.A.
Contact information
Practice address
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017-1823
(213) 607-4400
Mailing address
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017-1823
(213) 607-4400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
RPE 9592
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2014
Last updated
07/10/2015
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