Individual
EDGAR JOSE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 282-0402
(408) 282-0400
Mailing address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 282-0402
(408) 282-0400
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2023
Last updated
05/29/2025
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