Diane Bousquin, L.AC

NPI 1861610891 · on the registry since 2007 · sole proprietor

Practice

Address: 470 Nautilus St
#201
La Jolla, CA 92037
Phone: (858) 551-1005
Fax: (858) 551-1065
Organisation at this address: Miyamoto And Phi Dental Corporation
Lajolla Cosmetic & Family Dentistry Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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