Organization
KAISER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PATRICK DIAZ D.O. (PHYSICIAN)
(909) 631-2440
Entity
Organization
Contact information
Practice address
11911 CENTRAL AVE, CHINO, CA 91710-1906
(909) 631-2440
Mailing address
11911 CENTRAL AVE, CHINO, CA 91710-1906
(909) 631-2440
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20A12957
CA
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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