Provider Demographics
NPI:1316830078
Name:DAHI, DIANE MERCINA (MT, FDNP, BA)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:MERCINA
Last Name:DAHI
Suffix:
Gender:F
Credentials:MT, FDNP, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2353 CHARLEMAGNE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1953
Mailing Address - Country:US
Mailing Address - Phone:562-472-3789
Mailing Address - Fax:
Practice Address - Street 1:1777 N BELLFLOWER BLVD STE 107
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4019
Practice Address - Country:US
Practice Address - Phone:562-472-3789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77231225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist