Provider Demographics
NPI:1023878527
Name:LERNER, DIANA L (DACCHM)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:L
Last Name:LERNER
Suffix:
Gender:F
Credentials:DACCHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5925 CALVIN AVE
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-1112
Mailing Address - Country:US
Mailing Address - Phone:818-625-0285
Mailing Address - Fax:
Practice Address - Street 1:5925 CALVIN AVE
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1112
Practice Address - Country:US
Practice Address - Phone:818-625-0285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20043171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist