Diaz, Angelica

Diaz, Angelica is an individual health care provider with primary practice located at 947 S Anaheim Blvd Suite 270, Anaheim CA 92805-5582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Diaz, Angelica can be contacted via phone (714) 535-1415.

Contact Information

Primary practice address
947 S Anaheim Blvd Suite 270 Anaheim CA 92805-5582
Phone: (714) 535-1415
Fax: (714) 635-6771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X FP-C 15085 California

Profile Details

NPI number 1679654248
LBN Legal business name Diaz, Angelica
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1679654248 NPPES
California MEDICAID GR0090750
California Other NP 15085
California Other F1104107

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