Individual
ELSA OLIVERA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3934 MAGNOLIA AVE, LYNWOOD, CA 90262-5254
(323) 391-9316
Mailing address
6058 PROSPECT AVE, MAYWOOD, CA 90270-3220
(323) 391-9316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33256
CA
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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