Provider Demographics
NPI:1154612729
Name:GELI, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:GELI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16303 WILLOWMIST CT
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-6116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2451 FILLINGIM ST, 1ST FLOOR, UMC
Practice Address - Street 2:UNIVERSITY OF SOUTH ALABAMA, DEPARTMENT OF PATHOLOGY
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2293
Practice Address - Country:US
Practice Address - Phone:251-471-7786
Practice Address - Fax:251-471-7884
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program