Individual
JONATHAN HERNANDEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 304, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1835 S REDONDO BLVD, LOS ANGELES, CA 90019-5363
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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