Individual
DR. DAVID G. DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11160 WARNER AVE, SUITE # 411, FOUNTAIN VALLEY, CA 92708-4008
(714) 513-1399
(714) 513-1393
Mailing address
9 GREENBIER LN, NEWPORT BEACH, CA 92660
(714) 513-1399
(714) 513-1393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A35698
CA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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