Individual
MR. JORGE ALBERTO DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 BOUGAINVILLA AVE, POMONA, CA 91766-6910
(909) 764-7488
(909) 764-7488
Mailing address
903 BOUGAINVILLA AVE, POMONA, CA 91766-6910
(909) 764-7488
(909) 764-7488
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
B9376185
CA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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