SearchCalifornia207XS0114X

Diana Lee

NPI 1568993004 · on the registry since 2017 · sole proprietor

Practice

Address
1496 Professional Dr Ste 601
Petaluma, CA 94954
Phone
(707) 778-1131
Fax
(707) 778-3818
Organisation at this address
Mark R Northfield, M.D.
Petaluma Family Therapy Inc
James J. Glynn, M.D. A Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 525 Doyle Park Dr Ste 101, Santa Rosa, CA
  • 270 International Circle, San Jose, CA

Registry record

Primary taxonomy
207XS0114X
207XS0114X
Also registered as
390200000X
207X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California