Individual
DR. DIANE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8744
Mailing address
CHOC CHILDRENS SPECIALISTS, 1201 W LA VETA AVE, ORANGE, CA 92868-4203
(888) 770-2462
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
G75931
CA
208000000X
Pediatrics Physician
G075931
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
G075931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G759310
—
CA
05
—
GR0053510
—
CA
Enumeration date
06/17/2006
Last updated
01/28/2026
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