Organization
LISA M. DIAZ MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE DIAZ M.D. (PRESIDENT)
(949) 574-9709
Entity
Organization
Contact information
Practice address
351 HOSPITAL RD, SUITE 514, NEWPORT BEACH, CA 92663-3509
(949) 574-9709
(949) 650-6235
Mailing address
351 HOSPITAL ROAD, SUITE 514, NEWPORT BEACH, CA 92663
(949) 574-9709
(949) 650-6235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A51213
CA
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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