Tom, Diane

Tom, Diane is an individual health care provider with primary practice located at 12912 Brookhurst St Ste 480 , Garden Grove CA 92840-4867. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Tom, Diane can be contacted via phone (714) 636-6286.

Contact Information

Primary practice address
12912 Brookhurst St Ste 480 Garden Grove CA 92840-4867
Phone: (714) 636-6286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1275101768
LBN Legal business name Tom, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Mar 31st, 2025 - about last year

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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