Individual
MR. DANIEL JOSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8876 MISSION BLVD, RIVERSIDE, CA 92509-2811
(951) 955-0958
Mailing address
8876 MISSION BLVD, RIVERSIDE, CA 92509-2811
(951) 955-0958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
R1473460622
CA
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/30/2016
Last updated
05/22/2024
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