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Individual

DIANNA CHOOLJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD MPH

Contact information

Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806
(562) 933-1550
Mailing address
1724 PASEO DEL MAR, PVE, CA 90274
(310) 373-5192
(310) 373-5192

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
G57579
CA
2085R0202X
Diagnostic Radiology Physician
G57579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G575790
MEDICAL
CA
Enumeration date
11/15/2005
Last updated
04/20/2009
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