Diamond Small, is a
Student In An Organized Health Care Education/training Program based in San Diego, California. Diamond Small is licensed to practice in * (Not Available) (license number ) and her current practice location is
995 Gateway Center Way Ste 300, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 398-2156.
NPI number for Diamond Small is 1235860180 and her current mailing address is 995 Gateway Center Way Ste 300, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235860180.
Healthcare Provider's Profile
| Full Name | Diamond Small |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 995 Gateway Center Way Ste 300, San Diego, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235860180
- Provider Enumeration Date: 06/21/2022
- Last Update Date: 08/14/2022
Medical Identifiers
Medical identifiers for Diamond Small such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235860180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diamond Small is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diamond Small,
995 Gateway Center Way Ste 300,
San Diego, CA 92102-4550
Ph: () - | Diamond Small,
995 Gateway Center Way Ste 300,
San Diego, CA 92102-4550
Ph: (619) 398-2156 |
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