National Provider Identifier Database

DIANE K TANAKA, MD – NPI #1861588626
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

DIANE K TANAKA, MD
4650 W SUNSET BLVD
MS# 2
LOS ANGELES, CA90027-6062
Phone: 323-669-2153
Fax: 323-913-3691
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for DIANE K TANAKA

NPI Number 1861588626
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 08/15/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G73061
  • CA Medicaid: 00G730610
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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