Diane Perdomo
NPI #1306239371 in San Fernando, California
Provider Information
- NPI Number
- 1306239371
- Entity Type
- Individual
- Name
- Diane Perdomo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Mar 13, 2015
- Last Updated
- Feb 19, 2019
Practice Location
- Address
- 11565 LAUREL CANYON BLVD STE 116
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-4650
- Phone
- (818) 590-3084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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