Individual
DIANA BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8907 WARNER AVE STE 160, HUNTINGTON BEACH, CA 92647-5099
(714) 587-4704
Mailing address
7191 SANTEE AVE, WESTMINSTER, CA 92683-5226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010303
CA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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