Individual
CARLA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, NP-C
Contact information
Practice address
741 S ORANGE AVE STE 150, WEST COVINA, CA 91790-2662
(626) 899-4573
Mailing address
16209 EAGLERIDGE CT, LA MIRADA, CA 90638-6504
(925) 681-8986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95010192
CA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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