DIANE WING (NPI# 1255364147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255364147 |
| Entity Type | Individual |
| Full Name | DIANE WING |
| Practice Address |
520 N Prospect Ave Suite 100 Redondo Beach CA 90277-3041 |
| Mailing Address |
727 Anita St Redondo Beach CA 90278-4705 |
| Practice Telephone | 3103769222 |
| Mailing Telephone | 3103769222 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PT LICENSE | PT20291 | 01 |
| Street Address |
520 N PROSPECT AVE SUITE 100 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779660 | William James Wickwire | Dermatology | 520 N Prospect Ave, Ste 302, Redondo Beach, CA 90277-3043 | 2005-06-08 |
| 1265980437 | Nitin Bhakta | Pharmacist | 520 N Prospect Ave, Suite 110, Redondo Beach, CA 90277-3041 | 2016-09-16 |
| 1356799415 | A. R. I. Clinical Trials, Inc. | Clinic/Center | 520 N Prospect Ave, Suite 201, Redondo Beach, CA 90277-3041 | 2016-05-31 |
| 1962866483 | Jamie W Wu | Registered Nurse | 520 N Prospect Ave, Suite 203, Redondo Beach, CA 90277-3041 | 2016-04-11 |
| 1225463797 | Los Angeles Ent Facial Plastics Center, Inc | Clinic/Center | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3041 | 2013-09-03 |
| 1053669390 | Brenda Shen | Family Medicine | 520 N Prospect Ave, Suite 103, Redondo Beach, CA 90277-3041 | 2012-08-16 |
| 1346536968 | Sitaraman Jyotheeswaran Md Facp A Medical Corporation | Internal Medicine | 520 N Prospect Ave, Suite # 304, Redondo Beach, CA 90277-3041 | 2011-06-22 |
| 1952617342 | Lewis Wong | Family Medicine | 520 N Prospect Ave, Redondo Beach, CA 90277-3041 | 2010-08-24 |
| 1942452453 | Michael S. Greiner | Chiropractor | 520 N Prospect Ave, Ste # 201, Redondo Beach, CA 90277-3041 | 2008-10-15 |
| 1164672796 | Melody Lee | Nurse Practitioner | 520 N Prospect Ave, Redondo Beach, CA 90277-3041 | 2008-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023412590 | Oliver Severios | Physical Therapist | 1708 Esplanade Apt 10, Redondo Beach, CA 90277-5326 | 2014-10-13 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1225466964 | Mark Anthony Sports LLC | Physical Therapist | 112 S Catalina Ave, Suite 6, Redondo Beach, CA 90277-3384 | 2013-10-15 |
| 1104124544 | Kelly Lynn Mahoney | Physical Therapist | 2108 Huntington Ln # A, Redondo Beach, CA 90278-4309 | 2011-03-09 |
| 1730247768 | Stacey Macy Parsons | Physical Therapist | 1612 S Catalina Ave, Redondo Beach, CA 90277-5214 | 2006-12-04 |
| 1740239839 | Carol Ann Council | Physical Therapist | 234 S PCh Hwy, Redondo Beach, CA 90277-3383 | 2006-05-08 |
| 1689127128 | Lindsey Jelinek | Physical Therapist | 1912 S Pacific Coast Hwy, Redondo Beach, CA 90277-6118 | 2016-08-02 |
| 1912214032 | Core Objectives Physical Therapy | Physical Therapist | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | 2010-09-10 |
| 1265670343 | Yedda Marcelino | Physical Therapist | 520 N Prospect Ave Ste 100, Redondo Beach, CA 90277-3033 | 2009-01-28 |
| 1548299241 | Lori Pirie | Physical Therapist | 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277-3041 | 2006-07-03 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on DIANE WING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.