Diane Hazeyama, M.S.
Marriage & Family Therapist in Torrance, CA. Individual provider (NPI-1).
NPI number1649599622
StatusActive
Last updated in NPPESSep 20, 2021
Details
- NPI
- 1649599622
- Entity type
- Individual (NPI-1)
- Name
- Ms. Diane Hazeyama
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2010
- Certification date
- Sep 18, 2021
- Last updated
- Sep 20, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jan 1, 2024 to Jan 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT121946 | CA | Yes |
Practice location
21515 Hawthorne BlvdTorrance, CA 90503-6501
Phone 510-345-4379
Mailing address
Po Box 2351Palos Verdes Peninsula, CA 90274-8351
Phone 310-547-7954
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 469 Marriage & Family Therapist providers in Torrance · All 11,081 providers in Torrance
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