Provider Demographics
NPI:1790946135
Name:CURRY, DIANE RENEE (LVN)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:RENEE
Last Name:CURRY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11426 HAYFORD ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-6308
Mailing Address - Country:US
Mailing Address - Phone:562-863-3534
Mailing Address - Fax:562-565-2421
Practice Address - Street 1:2701 OCEAN PARK BLVD
Practice Address - Street 2:SUITE 150B
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-5200
Practice Address - Country:US
Practice Address - Phone:310-392-9474
Practice Address - Fax:310-392-7341
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN157231164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse