Individual
JOSE LUIS DIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1317 OAKDALE RD STE 420, MODESTO, CA 95355-3364
(209) 522-3362
Mailing address
1516 TRAILS WAY, MODESTO, CA 95357-0622
(209) 581-3052
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036161333
IL
208600000X
Surgery Physician
Primary
A185841
CA
Other
Enumeration date
04/21/2016
Last updated
06/12/2025
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