Individual
ALEX DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5401 NORRIS CANYON RD STE 306, SAN RAMON, CA 94583-5408
(925) 866-8822
Mailing address
5401 NORRIS CANYON RD STE 308, SAN RAMON, CA 94583-5408
(925) 866-8822
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20A18649
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659759363
—
CO
Enumeration date
05/13/2015
Last updated
09/08/2021
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