Organization
DIAZ ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL DIAZ MD (PRESIDENT SOLE OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, STE. #111, ENCINO, CA 91316-1502
(818) 784-8975
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A89528
CA
Other
Enumeration date
10/21/2009
Last updated
06/22/2015
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