Individual
MR. VICTOR MANUEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024165994
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000660
CA
Other
Enumeration date
10/26/2005
Last updated
09/23/2024
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