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Contact Information

DIANA P ABATECOLA
3340 KEMPER ST
SUITE 105
SAN DIEGO, CA92110-4906
 Phone: 619-523-8121
 Fax: 619-523-8742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DIANA P ABATECOLA · (Female)

NPI Number 1699985531
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2007
Last updated 10/20/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 1018751
  • CA License # RS9983
  • CA Medicaid 37378100
Hospital affiliation(s) Not Available
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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