Individual
MR. DAVID PICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, FNP, GS-C, CPG
Contact information
Practice address
836 N DEL SOL LN, DIAMOND BAR, CA 91765-1105
(877) 241-8200
(909) 245-1751
Mailing address
340 S LEMON AVE, 1295, WALNUT, CA 91789-2706
(877) 241-8200
(909) 245-1751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP10299
CA
363LG0600X
Gerontology Nurse Practitioner
NP10299
CA
364S00000X
Clinical Nurse Specialist
CNS269
CA
Other
Enumeration date
07/31/2008
Last updated
04/11/2024
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