Provider Demographics
NPI:1225105505
Name:DIABLO VALLEY PERFUSION, INC.
Entity Type:Organization
Organization Name:DIABLO VALLEY PERFUSION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRATO
Authorized Official - Suffix:
Authorized Official - Credentials:CCP
Authorized Official - Phone:925-672-6936
Mailing Address - Street 1:5433 CLAYTON RD
Mailing Address - Street 2:SUITE K368
Mailing Address - City:CLAYTON
Mailing Address - State:CA
Mailing Address - Zip Code:94517-1089
Mailing Address - Country:US
Mailing Address - Phone:925-672-6936
Mailing Address - Fax:925-672-6936
Practice Address - Street 1:5433 CLAYTON RD
Practice Address - Street 2:SUITE K368
Practice Address - City:CLAYTON
Practice Address - State:CA
Practice Address - Zip Code:94517-1089
Practice Address - Country:US
Practice Address - Phone:925-672-6936
Practice Address - Fax:925-672-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty