Individual
ELIZABETH DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W SANTA ANA BLVD STE 600, SANTA ANA, CA 92701-4552
(714) 953-4455
Mailing address
PO BOX 6062, SANTA ANA, CA 92706-0062
(714) 883-4937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5730
CA
Other
Enumeration date
02/07/2024
Last updated
03/28/2024
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