# TARCISIO C. DIAZ, M.D. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891135752
- **Authorized official:** DR. TARCISIO CALIBO DIAZ M.D. (PRESIDENT)
- **Authorized official phone:** (951) 738-9081

## Contact information

- **Practice address:** 900 S MAIN ST, SUITE 100, CORONA, CA 92882-3401
- **Practice address phone:** (951) 738-9081
- **Practice address fax:** (951) 738-9081
- **Mailing address:** 900 S MAIN ST, SUITE 100, CORONA, CA 92882-3401
- **Mailing address phone:** (951) 738-9081
- **Mailing address fax:** (951) 738-9081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A46295 | CA | Yes |

## Other

- **Enumeration date:** 06/25/2013
- **Last updated:** 06/25/2013