Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DIANE S WATANABE, ATC
Active Sole ProprietorMS. DIANE S WATANABE, ATC is a Athletic Trainer healthcare provider located in SANTA MONICA, California. NPI 1952721763 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SANTA MONICA, CA
Registration Details
- NPI Number
- 1952721763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2014 (12.284387354324 yrs)
- Last Updated
- Apr 19, 2014
- License
-
000080379
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 PICO BLVDSMC DEPT OF ATHLETICSSANTA MONICA, CA, 904051628Browse CA providers · Browse ZIP 90405
- Phone
- 3104344314
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY KYLE JOHNSON | ATC | 1073579199 |
| EMILY AMBROSE | MS, ATC | 1679969125 |
| LAURA DEGUZMAN | ATC | 1417584343 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.