Provider Demographics
NPI:1518763309
Name:NAJEM, DIALA MAHMOUD
Entity type:Individual
Prefix:
First Name:DIALA
Middle Name:MAHMOUD
Last Name:NAJEM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 S SUNKIST ST SPC 72
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-5618
Mailing Address - Country:US
Mailing Address - Phone:909-402-8959
Mailing Address - Fax:
Practice Address - Street 1:1400 S SUNKIST ST SPC 72
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-5618
Practice Address - Country:US
Practice Address - Phone:909-402-8959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101200000XBehavioral Health & Social Service ProvidersDrama Therapist