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Individual

ANA DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
879 W 190TH ST STE 300, GARDENA, CA 90248-4223
(310) 323-6887
Mailing address
879 W 190TH ST STE 300, GARDENA, CA 90248-4223
(310) 323-6887

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
175T00000X
Peer Specialist
Primary
MPSS-PGUSDT
CA
373H00000X
Day Training/Habilitation Specialist

Other

Enumeration date
10/02/2023
Last updated
08/20/2025
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