1710067913 NPI number — MRS. DIANA CHENG SCHEIBLE MA, OTR/L

Table of content: MRS. DIANA CHENG SCHEIBLE MA, OTR/L (NPI 1710067913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710067913 NPI number — MRS. DIANA CHENG SCHEIBLE MA, OTR/L

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEIBLE
Provider First Name:
DIANA
Provider Middle Name:
CHENG
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, OTR/L
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710067913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11693 SAN VICENTE BLVD
Provider Second Line Business Mailing Address:
#826
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90049-5105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-883-3370
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
147 BAY ST
Provider Second Line Business Practice Location Address:
SUITE 21
Provider Business Practice Location Address City Name:
SANTA MONICA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90405-1076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-396-8564
Provider Business Practice Location Address Fax Number:
310-396-0052
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  8007 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225XE1200X , with the licence number: 8007 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com