Organization
DIAZ MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KING NINO DIAZ NP (NURSE PRACTITIONER)
(909) 217-8633
Entity
Organization
Contact information
Practice address
14550 ARCHWOOD ST STE B, VAN NUYS, CA 91405-4628
(909) 217-8633
Mailing address
14550 ARCHWOOD ST STE B, VAN NUYS, CA 91405-4628
(909) 217-8633
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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