Individual
DIANA VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 W TEMPLE ST, LOS ANGELES, CA 90026-4915
(213) 260-7600
Mailing address
5029 CECILIA ST, CUDAHY, CA 90201-6003
(323) 440-1621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
Primary
—
CA
Other
Enumeration date
09/06/2017
Last updated
09/27/2017
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