Individual
HECTOR ALEJANDRO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 E LOS ANGELES AVE STE B2, SIMI VALLEY, CA 93065-1884
(805) 522-1844
(805) 522-5345
Mailing address
660 E LOS ANGELES AVE STE B2, SIMI VALLEY, CA 93065-1884
(805) 522-1844
(805) 522-5345
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
292966
CA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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