Individual
GABRIELA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31764 CASINO DR STE 300, LAKE ELSINORE, CA 92530-2312
(951) 471-4645
(951) 471-4687
Mailing address
31764 CASINO DR STE 300, LAKE ELSINORE, CA 92530-2312
(951) 471-4645
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
01/29/2020
Last updated
09/16/2025
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