Individual
DIANA O UKPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1012 E COOLEY DR STE N, COLTON, CA 92324-3949
(951) 283-2145
(949) 628-0039
Mailing address
482 GREEN ORCHARD PL, RIVERSIDE, CA 92506-7590
(951) 283-2145
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
520770
CA
Other
Enumeration date
10/02/2024
Last updated
05/08/2026
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