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Ms. Diane Edgemon, LE,CPE
Point of Service in Livermore, California
NPI 1043748544

Diane Edgemon is a Point of Service based in Livermore, CA. Diane Edgemon practices in Livermore, CA and has the professional credentials of LE,CPE. The NPI Number for Diane Edgemon is 1043748544 and holds a License No. L7180 (California).

The current practice location address for Diane Edgemon is 60 Fenton St Ste 11, Livermore, CA and can be reached out via phone at 925-337-3522. You can also correspond with Diane Edgemon through the mailing address at 60 FENTON ST STE 11, LIVERMORE, CA - 94550-4148 (mailing address contact number: 925-337-3522).

Location: 60 Fenton St Ste 11, Livermore, CA, 94550-4148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043748544
Provider Name
Diane Edgemon
Credential
LE,CPE
Provider Entity Type
Individual
Gender
Female
Address
60 Fenton St Ste 11, Livermore, CA, 94550-4148
Phone Number
925-337-3522
Fax Number
Provider Enumeration Date
05/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
60 Fenton St Ste 11
City
Livermore
State
California
Zip
94550-4148
Phone Number
925-337-3522
Fax Number
person
Provider Business Mailing Address Details
Address
60 Fenton St Ste 11
City
Livermore
State
California
Zip
94550-4148
Phone Number
925-337-3522
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
L7180 (California)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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