Individual
DIANE BANGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
273 E BEVERLY BLVD, MONTEBELLO, CA 90640-3775
(323) 724-5100
Mailing address
1301 TERRA BELLA, IRVINE, CA 92602-1089
(714) 368-3383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3484
CA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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