Provider Demographics
NPI:1225550973
Name:THOMPSON, KESSLER DIANE (RN)
Entity Type:Individual
Prefix:MS
First Name:KESSLER
Middle Name:DIANE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N. STATE STREET
Mailing Address - Street 2:CLINIC TOWER/A2B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033
Mailing Address - Country:US
Mailing Address - Phone:323-409-5040
Mailing Address - Fax:323-441-4339
Practice Address - Street 1:1100 N. STATE STREET
Practice Address - Street 2:CLINIC TOWER/A2B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-409-5040
Practice Address - Fax:323-441-4339
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA718703163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency