Individual
MS. MOLLY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
PA20108
CA
363A00000X
Physician Assistant
PA20108
CA
364SX0200X
Oncology Clinical Nurse Specialist
PA20108
CA
Other
Enumeration date
02/18/2009
Last updated
12/07/2020
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