Individual
MIRIELLE DIAZ-MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7907 OSTROW ST STE F, SAN DIEGO, CA 92111-3635
(619) 284-6377
(619) 528-2841
Mailing address
7907 OSTROW ST STE F, SAN DIEGO, CA 92111-3635
(619) 284-6377
(619) 528-2841
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
135890
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
135890
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
258020
NY
Other
Enumeration date
06/28/2007
Last updated
12/05/2021
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