Individual
MARGARITA DIAZ BUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(253) 228-2578
Mailing address
1136 N COLUMBUS AVE APT 107, GLENDALE, CA 91202-2373
(253) 228-2578
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51969
CA
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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