Diane Joyce Henderson in Los Angeles - Developmental - Behavioral Pediatrics

Diane Joyce Henderson - NPI 1700989001

Diane Joyce Henderson is a Developmental - Behavioral Pediatrics in Los Angeles, California. Diane Joyce Henderson practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Diane Joyce Henderson is 1700989001. The last update date is 2007-07-08.

Diane Joyce Henderson's current location address is 2300 S Flower St, Los Angeles, California. You can contact this provider via phone number 2137421433 and fax number 2137421496. The mailing address for Diane Joyce Henderson is 2300 S Flower St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Joyce Henderson
Address 2300 S Flower St, Los Angeles, California
Phone Number 2137421433
Fax Number 2137421496
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1700989001
Provider Enumeration Date 2006-09-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2300 S Flower St
City Los Angeles
State California (CA)
Post Code 900072677
Phone Number 2137421433
Fax Number 2137421496

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No G22020
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G220200 CA MEDI-CAL NUMBER
CGP168503 CA CCS PROVIDER NUMBER

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FAQs about Diane Joyce Henderson

What is the unique identifier code issued to Diane Joyce Henderson by the Centers for Medicare & Medicaid Services?

The Diane Joyce Henderson has been assigned the NPI (National Provider Identifier) 1700989001. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Diane Joyce Henderson's physical address?

The Diane Joyce Henderson is physically located at 2300 S Flower St, in the city of Los Angeles, CA, with the postal code 900072677.

What is Diane Joyce Henderson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Diane Joyce Henderson is Developmental - Behavioral Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2080P0006X.

On what date did the Centers for Medicare & Medicaid Services assign the 1700989001 to Diane Joyce Henderson?

The Centers for Medicare & Medicaid Services assigned the 1700989001 to Diane Joyce Henderson on 2006-09-06.

As of what date were the details pertaining to Diane Joyce Henderson last refreshed?

The information related to the Diane Joyce Henderson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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