Individual
ROBERTO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1828 EL CAMINO REAL, SUITE 601, BURLINGAME, CA 94010-3103
(650) 692-9111
(650) 692-9114
Mailing address
1828 EL CAMINO REAL, SUITE 601, BURLINGAME, CA 94010-3103
(650) 692-9111
(650) 692-9114
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A53002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A530020
—
CA
Enumeration date
11/07/2005
Last updated
11/14/2007
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