Diamond, Mark Douglas

Diamond, Mark Douglas is an sole proprietor health care provider with primary practice located at 29377 Rancho California Rd Suite 201, Temecula CA 92591-5206. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Diamond, Mark Douglas can be contacted via phone (951) 693-2486.

Contact Information

Primary practice address
29377 Rancho California Rd Suite 201 Temecula CA 92591-5206
Phone: (951) 693-2486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY8771 California

Profile Details

NPI number 1831247998
LBN Legal business name Diamond, Mark Douglas
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831247998 NPPES
California Other PJ0087710 MEDICAL

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