Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dianne Shaw

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730743253

Dianne Shaw is an Addiction (Substance Use Disorder) Counselor in San Pedro, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

505 S Pacific Ave
San Pedro, CA 90731-2656
Phone: (310) 519-8723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1911768 (CA)

Record details

NPI number1730743253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024
Mailing address10425 Painter Ave, Santa Fe Springs, CA 90670-3429

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