Individual
DR. DIANA MARIE RISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
14501 HINDRY AVE, HAWTHORNE, CA 90250-6748
(310) 536-0327
(310) 536-0328
Mailing address
2604 VOORHEES AVE UNIT B, REDONDO BEACH, CA 90278-2619
(310) 536-0327
(310) 536-0328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12128T
CA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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