Individual
MRS. CRYSTAL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1278 E LATHAM AVE, HEMET, CA 92543-4445
(951) 925-6625
Mailing address
2876 VIOLET DR, SAN JACINTO, CA 92582-3737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95196694
CA
363LF0000X
Family Nurse Practitioner
Primary
95038230
CA
Other
Enumeration date
09/22/2025
Last updated
04/18/2026
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