Diiehma Michelle Bates
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hawthorne, CA
NPI 1154907293 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1154907293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 12100 Birch Ave Apt 20
Hawthorne, CA 90250-3942 - Phone
- (424) 374-9244
- NPI assigned
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Yes |
Addresses
Primary practice location
12100 Birch Ave Apt 20
Hawthorne, CA 90250-3942
Mailing address
12100 Birch Ave Apt 20
Hawthorne, CA 90250-3942
Other providers in Hawthorne, CA
- Pedrum Barr
- Karen Barraca
- Kellie Barrett
- Denise Barry-Alvey
- Allyson Leigh Bates
- Alexandria Merrick Baumel
- Bay Area Medical Supply Inc
- Beach Citiez Outpatient Surgery Center
- Natalie E Beal
- Evalyn Beauchamp
All providers in Hawthorne, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.