Individual
DR. JOHN NICHOLAS DIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3273 CLAREMONT WAY, SUITE 100, NAPA, CA 94558-3306
(707) 254-7117
(707) 265-6435
Mailing address
3273 CLAREMONT WAY, SUITE 100, NAPA, CA 94558-3306
(707) 254-7117
(707) 265-6435
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A87859
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A87859
CA
207XX0801X
Orthopaedic Trauma Physician
A87859
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A878590
—
CA
01
—
A87859
LICENSE
CA
Enumeration date
07/16/2006
Last updated
10/22/2014
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