MRS. DIANE MARIE BOLL (NPI# 1417001983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417001983 |
| Entity Type | Individual |
| Full Name | MRS. DIANE MARIE BOLL |
| Credential | PSY D |
| Practice Address |
710 Rimpau Ave Suite 104 Corona CA 92879 |
| Practice Telephone | 9513772138 |
| Mailing Telephone | 9513772138 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17101 | CA | Behavioral Health & Social Service Providers |
| Street Address |
710 RIMPAU AVE SUITE 104 |
| City | CORONA |
| State | CA |
| Zip Code | 92879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116053 | Ubuntu Psychological Services | Psychologist | 1307 W 6th St Ste 212c, Corona, CA 92882-1642 | 2020-05-22 |
| 1598038259 | Marisa Barra | Psychologist | 5917 Junction Blvd., Room 1525, Corona, NY 11368 | 2012-02-10 |
| 1730489139 | David Carl Hall | Psychologist | 715 E Grand Blvd, Corona, CA 92879-2228 | 2010-11-01 |
| 1912221706 | James Penny | Psychologist | 9515 Horace Harding Expy, Corona, NY 11368-4154 | 2010-03-23 |
| 1144554973 | Rebecca Lynn Buckman | Psychologist | 1 Lefrak City Plz, Room 1525, Corona, NY 11368-4160 | 2009-09-26 |
| 1801047675 | Debra Alphonsa George-barber | Psychologist | 13753 Hunters Run Ct, Corona, CA 92880-5555 | 2008-10-09 |
| 1134325491 | Cheryl Ann Ballou | Psychologist | 4020 Royal Vista Cir, Corona, CA 92881-4707 | 2007-06-25 |
| 1063535672 | Aaron Smith | Psychologist | 4160 Temescal Canyon Rd, St 309, Corona, CA 92883-4625 | 2007-04-09 |
| 1922186972 | Michele Denise Akers-woody | Psychologist | 9074 Evonvale Dr, Corona, CA 92883-5901 | 2006-11-01 |
| 1982786034 | Sahar Dastgerdi Asadinik | Psychologist | 802 Magnolia Ave Ste 207, Corona, CA 92879-3157 | 2006-10-19 |
| Find all providers in CORONA | ||||
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| 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.