Individual
DIANA AMODIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
433 TURK ST, SAN FRANCISCO, CA 94102-3329
(415) 928-7800
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
G54733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G547330
BLUE SHIELD
CA
Enumeration date
07/20/2006
Last updated
03/15/2013
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