Individual
DENISE DIAZ AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 POLLARD RD STE 208, LOS GATOS, CA 95032-1435
(408) 378-1701
Mailing address
825 POLLARD RD STE 208, LOS GATOS, CA 95032-1435
(408) 378-1701
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG003924
PA
152W00000X
Optometrist
Primary
OPT35772-TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG003924
LICENSE
PA
01
—
OPT35772--TLG
LICENSE
CA
Enumeration date
07/25/2022
Last updated
01/06/2025
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