Individual
RYAN M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7147
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 605-7147
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5131
CA
Other
Enumeration date
03/22/2011
Last updated
09/25/2019
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