Organization
TARCISIO C. DIAZ, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARCISIO CALIBO DIAZ M.D. (PRESIDENT)
(951) 738-9081
Entity
Organization
Contact information
Practice address
900 S MAIN ST, SUITE 100, CORONA, CA 92882-3401
(951) 738-9081
(951) 738-9081
Mailing address
900 S MAIN ST, SUITE 100, CORONA, CA 92882-3401
(951) 738-9081
(951) 738-9081
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A46295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A462950
MEDICARE
CA
Enumeration date
06/25/2013
Last updated
06/25/2013
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