Diana Pheugphoonphol

NPI 1821682378 · on the registry since 2021

Practice

Address: 580 S San Vicente Blvd
Los Angeles, CA 90048
Phone: (323) 782-1500
Organisation at this address: Beverly Hills Rehabilitation Centre Llc
The Rehabilitation Centre Of Beverly Hills
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-02-25

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