Individual
DIANA KAREN MARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2934 E GARVEY AVE S STE 100, WEST COVINA, CA 91791-2180
(626) 798-6793
Mailing address
1877 DENISON ST, POMONA, CA 91766-1053
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
02/12/2020
Last updated
11/22/2023
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