Provider Demographics
NPI:1679639264
Name:ZSCHASCHEL, DIANA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:ELIZABETH
Last Name:ZSCHASCHEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12130 OHIO AVE
Mailing Address - Street 2:APT 309
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2583
Mailing Address - Country:US
Mailing Address - Phone:310-420-7964
Mailing Address - Fax:
Practice Address - Street 1:8920 WILSHIRE BLVD
Practice Address - Street 2:SUITE 610
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2007
Practice Address - Country:US
Practice Address - Phone:310-854-6102
Practice Address - Fax:310-854-6161
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice