| Organization Name: | DIAMOND INTEGRATED MEDICAL GROUP |
| NPI Number: | 1265829261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNA XIBIN CHENG (CEO) |
| Mailing Address: | 19239 Colima Rd Rowland Heights |
| State: | CA US |
| Postal Code: | 917483005 |
| Phone Number: | 6265817898 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2015 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |