Provider Demographics
NPI:1447909916
Name:DIANE K. BROWN RDHAP INC.
Entity type:Organization
Organization Name:DIANE K. BROWN RDHAP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:KATLEEN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RDHAP
Authorized Official - Phone:619-823-4616
Mailing Address - Street 1:3033 ADAMS AVE UNIT 6
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-1504
Mailing Address - Country:US
Mailing Address - Phone:619-823-4616
Mailing Address - Fax:
Practice Address - Street 1:3033 ADAMS AVE UNIT 6
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-1504
Practice Address - Country:US
Practice Address - Phone:619-823-4616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty