Individual
DR. DEVIN R DIHENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(619) 215-1797
Mailing address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(619) 215-1797
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
34730
CA
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
10/28/2019
Last updated
12/10/2024
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