Diana Pina Ibanez
Rehabilitation Practitioner in San Leandro, CA. Individual provider (NPI-1).
NPI number1982172219
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1982172219
- Entity type
- Individual (NPI-1)
- Name
- Diana Pina Ibanez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2018
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
Mailing address
2275 Arlington DrSan Leandro, CA 94578-1132
Phone 510-317-1444
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All 87 Rehabilitation Practitioner providers in San Leandro · All 5,527 providers in San Leandro
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