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Individual

GUADALUPE DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 W VICTORIA ST STE F&G, COMPTON, CA 90220-5807
(562) 822-4274
Mailing address
901 W VICTORIA ST STE F&G, COMPTON, CA 90220-5807

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
07/10/2023
Last updated
08/12/2025
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