Individual
JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 CESAR CHAVEZ AVE, LOS ANGELES, CA 90033
(562) 906-7766
Mailing address
1700 CESAR CHAVEZ, LOS ANGELES, CA 90033
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
FP14619
CA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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