Individual
MS. IRENE DIANE OAXACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1925 DALY ST FL 2, LOS ANGELES, CA 90031-3309
(323) 226-4448
Mailing address
1925 DALY ST. 2ND FLOOR, LOS ANGELES, CA 90031-3309
(323) 226-4448
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
264869
CA
Other
Enumeration date
08/21/2007
Last updated
10/02/2013
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