Individual
LUCIA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 W CARSON ST, BOX 5, TORRANCE, CA 90502-2004
(310) 222-2724
Mailing address
2515 S VICTORIA AVE, LOS ANGELES, CA 90016-3029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 175167
MD
163W00000X
Registered Nurse
RN 719487
CA
363L00000X
Nurse Practitioner
Primary
NP 18177
CA
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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