Individual
IVAN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 SAN DIEGO RD, BERKELEY, CA 94707-2025
(510) 914-2556
Mailing address
761 SAN DIEGO RD, BERKELEY, CA 94707-2025
(510) 914-2556
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G13931
CA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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