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Individual

DIANA KAZEMPOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
123 ATLANTIC AVE, LONG BEACH, CA 90802-5121
(562) 726-1383
Mailing address
21 PARMA, IRVINE, CA 92602-1656
(714) 319-2601

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95004820
CA

Other

Enumeration date
08/26/2016
Last updated
09/28/2017
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