Individual
DR. HAILEY H DIZAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5390
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5390
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101018867
MI
Other
Enumeration date
06/29/2010
Last updated
11/10/2020
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