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

Dominic Phan Diconti

Individual provider Physical Therapist · NPI 1407770985

Dominic Phan Diconti is a Physical Therapist in Montebello, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2617 W Beverly Blvd
Montebello, CA 90640-2309
Phone: (562) 948-4004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1407770985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2026
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address2617 W Beverly Blvd, Montebello, CA 90640-2309

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