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NPI 1457730459 · Early Intervention Provider Agency · Glendale, CA
Provider details
- NPI number
- 1457730459
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Carla Diran, Owner/Clinical Director
- License
- 1-12-10272 (CA)
Practice location
1734 N Verdugo Rd Apt 12
Glendale, CA 91208-2723
Phone: (310) 980-3643
Mailing address
1734 N Verdugo Rd Apt 12
Glendale, CA 91208-2723
Registry dates
- Enumerated
- 2015-05-22
- Last updated
- 2015-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.