Organization
ROBERTO DIAZ, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JOAQUIN TOBAR (BUSINESS MANAGER)
(650) 692-9115
Entity
Organization
Contact information
Practice address
1828 EL CAMINO REAL, SUITE 601, BURLINGAME, CA 94010-3103
(650) 692-9111
Mailing address
1828 EL CAMINO REAL, SUITE 601, BURLINGAME, CA 94010-3103
(650) 692-9111
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAB75890F
—
CA
Enumeration date
05/09/2008
Last updated
05/09/2008
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