Individual
JOSE M DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8016 2ND ST, DOWNEY, CA 90241-3622
(562) 862-7744
(562) 407-2082
Mailing address
9302 CORD AVE, DOWNEY, CA 90240-3028
(562) 688-4455
(323) 588-0422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76805
CA
208D00000X
General Practice Physician
A76805
CA
Other
Enumeration date
07/20/2006
Last updated
10/25/2016
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