DR. DIANE JOYCE HENDERSON M.D. NPI 1700989001

NPI Information

NPI: 1700989001
Provider Name: DR. DIANE JOYCE HENDERSON, M.D.
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Address:
2300 S FLOWER ST
SUITE 300
LOS ANGELES, CA
ZIP 90007
Phone: (213) 742-1433
Get Directions

DR. Diane Joyce Henderson, M.D. is a developmental - behavioral pediatrics pediatrics in Los Angeles, CA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. DR. Diane Joyce Henderson, M.D. NPI is 1700989001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2300 S FLOWER ST
SUITE 300
LOS ANGELES, CA
ZIP 90007-660
Phone: (213) 742-1433
Fax: (213) 742-1496

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	G22020	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CGP168503	OTHER	CALIFORNIA	CCS PROVIDER NUMBER
2	00G220200	OTHER	CALIFORNIA	MEDI-CAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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