Individual
DIANNA KATTENGELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1431 7TH ST STE 101, SANTA MONICA, CA 90401-2638
(310) 395-5550
Mailing address
2011 ARGYLE AVE APT 11, LOS ANGELES, CA 90068-3335
(210) 365-4744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15038
CALIFORNIA STATE BOARD OF OPTOMETRY
CA
Enumeration date
07/23/2014
Last updated
05/09/2023
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