Individual
DR. JOSE J DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8667
Mailing address
147 W ROUTE 66 # 650, GLENDORA, CA 91740-6208
(626) 524-3865
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A64744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A647440
—
CA
Enumeration date
06/15/2006
Last updated
11/16/2022
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