Organization
LORAINE V. DIEGO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORAINE V DIEGO M.D. (PRESIDENT)
(213) 388-2229
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST STE 7643, LOS ANGELES, CA 90026-5421
(213) 388-2229
(213) 388-1507
Mailing address
PO BOX 457, SAN DIMAS, CA 91773-0457
(909) 971-9334
(909) 575-3573
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A67445
CA
208D00000X
General Practice Physician
A67445
CA
Other
Enumeration date
12/03/2014
Last updated
02/23/2015
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