Diana Deangelo | Yorba Linda, CA • PECOS Search

Diana Deangelo

Marriage & Family Therapist

Behavioral Health & Social Service Providers

19592 Parkside Dr, Yorba Linda, CA 92886-5848

PECOS Enrollment

Based on the most recent information from CMS, provider Diana Deangelo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1275812265
Provider Type
Individual
Full Name
Deangelo, Diana
Title
Mrs.
Credential
M.S., MFTI

Gender
Female
Sole Proprietor
No
Enumeration Date
8/9/2011
Last Updated
8/9/2011

Contact Information

Practice Location

19592 Parkside Dr, Yorba Linda, CA 92886-5848

Unlisted Fax

Mailing Location

19592 Parkside Dr, Yorba Linda, CA 92886-5848

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License IMF 60192 California