DR. DIANE YVONNE PETERSEN (NPI# 1992734420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992734420 |
| Entity Type | Individual |
| Full Name | DR. DIANE YVONNE PETERSEN |
| Credential | M.D. |
| Practice Address |
3565 Del Amo Blvd 3rd Floor Torrance CA 90503-1637 |
| Practice Telephone | 3102140811 |
| Practice Fax Number | 3107930754 |
| Mailing Telephone | 3102140811 |
| Mailing Fax Number | 3107930754 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2012-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G54758 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306187117 | Diane Petersen | Social Worker | 18640 W Il Route 120, Grayslake, IL 60030-9733 | 2013-03-05 |
| 1821227141 | Diane Petersen | Psychologist | 2020 Talley Rd, Leesburg, FL 34748-3426 | 2009-07-08 |
| 1669514980 | Diane Durkin Petersen | Social Worker | 1299 Olentangy River Rd, Columbus, OH 43212-3135 | 2007-02-13 |
| 1013939578 | Diane Elaine Bergman Petersen | Specialist | 940 Central Park Drive, #209, Steamboat Springs, CO 80487 | 2006-07-24 |
| 1790719342 | Diane M Petersen | Obstetrics & Gynecology | 1031 Bellevue Ave, Suite 400, Saint Louis, MO 63117-1818 | 2006-07-10 |
| Street Address |
3565 DEL AMO BLVD 3RD FLOOR |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574206 | Aeree Yoon | Internal Medicine | 3565 Del Amo Blvd, Torrance, CA 90503 | 2005-08-04 |
| 1982179701 | Kyung Ahn | Pharmacist | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2018-10-08 |
| 1558808527 | Christine Panopio | Registered Nurse | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2017-01-27 |
| 1790220879 | Dominique Benjamin | Registered Nurse | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2016-12-28 |
| 1700240801 | Sheena Dhadwal | Internal Medicine | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2016-04-05 |
| 1275992190 | Karl Lexter Reyes | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2016-02-20 |
| 1235504614 | Jaszmin Lacole Gray | Registered Nurse | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2015-12-10 |
| 1326434887 | Lac Janes Viet Duong | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2015-04-11 |
| 1851782718 | Jessica Rose Darling | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2015-02-13 |
| 1255764858 | Benjamin Vallejo | Technician/Technologist | 3565 Del Amo Blvd, Suite #203, Torrance, CA 90503-1637 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1154740470 | Janice Erica Chang | Otolaryngology | 23550 Hawthorne Blvd Ste 180, Torrance, CA 90505-4721 | 2014-04-15 |
| 1043552508 | David Sehwan Kim | Otolaryngology | 23550 Hawthorne Blvd Ste 125, Torrance, CA 90505-4767 | 2013-03-22 |
| 1831405489 | Srinivas Yanamadala Md Inc | Otolaryngology | 21350 Hawthore Blvd #256, Torrance, CA 90503 | 2010-08-20 |
| 1306015847 | Hakimeh B Kadivar Md Inc | Otolaryngology | 3440 Lomita Blvd Ste 242, Torrance, CA 90505-4815 | 2008-02-28 |
| 1003015744 | Brett A. Levine, M.d., PC. | Otolaryngology | 21320 Hawthorne Blvd Ste 119, Torrance, CA 90503-5651 | 2007-07-12 |
| 1962539007 | Lesley J Luk Md Inc | Otolaryngology | 4201 Torrance Blvd Ste 390, Torrance, CA 90503-4541 | 2007-02-27 |
| 1831112853 | Daryl Robert Rheuark | Otolaryngology | 24520 Hawthorne Blvd., Suite 240, Torrance, CA 90505-6849 | 2006-07-25 |
| 1386601268 | Gordon F Schaye | Otolaryngology | 20911 Earl St Ste 340, Torrance, CA 90503-4355 | 2006-04-26 |
| 1770553364 | Joseph M Kuderko | Otolaryngology | 20911 Earl St Ste 470, Torrance, CA 90503-4355 | 2006-01-25 |
| Find all providers in TORRANCE | ||||
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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.