Diaz, Alyssa

Diaz, Alyssa is an individual health care provider with primary practice located at 13800 Heacock St Ste C220 , Moreno Valley CA 92553-3363. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Diaz, Alyssa can be contacted via phone (951) 653-1800.

Contact Information

Primary practice address
13800 Heacock St Ste C220 Moreno Valley CA 92553-3363
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APCC10307 California
Behavioral Health & Social Service Providers / Professional 101YP2500X APCC10307 California

Profile Details

NPI number 1609356955
LBN Legal business name Diaz, Alyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2018
Last updated Jul 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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