Individual
JOSE A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
458 26TH ST, SAN DIEGO, CA 92102-3026
(858) 902-2096
Mailing address
458 26TH ST, SAN DIEGO, CA 92102-3026
(858) 902-2096
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
250197007
CA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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