Individual
MRS. DIANE GAIL KIRBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
450 E HUNTINGTON DR, ARCADIA, CA 91006-3748
(626) 254-2253
(626) 254-2270
Mailing address
4926 ARCOLA AVE, NORTH HOLLYWOOD, CA 91601-4810
(818) 762-8601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP12911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP12911
NURSE PRACTIONER LICENSE
CA
01
—
RN342528
NURSE LICENCE
CA
Enumeration date
07/04/2006
Last updated
07/11/2012
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