DIANE VIDAL RODRIGUEZ NPI 1205648904

NPI Information

  • NPI: 1205648904
  • Provider Name: DIANE VIDAL RODRIGUEZ
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1250 N BELLFLOWER BLVD
    LONG BEACH, CA
    ZIP 90840
  • Phone: (562) 985-4111

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NPI Details

Diane Vidal Rodriguez is a psychiatric/mental health nurse practitioner in Long Beach, CA. Diane Vidal Rodriguez NPI is 1205648904. 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:

1250 N BELLFLOWER BLVD
LONG BEACH, CA
ZIP 90840-004
Phone: (562) 985-4111

The enumeration date for this NPI number is 1/21/2025 and was last updated on 1/21/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health95031722CALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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