Provider Demographics
NPI:1225236011
Name:GARCIA, DIANE FRANCES
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:FRANCES
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2179 PEACHTREE LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1229
Mailing Address - Country:US
Mailing Address - Phone:408-201-7679
Mailing Address - Fax:
Practice Address - Street 1:19050 MALAGUERRA AVE
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-9032
Practice Address - Country:US
Practice Address - Phone:408-201-7679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator