Diaz, Gene Ian

Diaz, Gene Ian is an individual health care provider with primary practice located at 537 E Vine Ave , West Covina CA 91790-5126. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Diaz, Gene Ian can be contacted via phone (888) 763-4963.

Contact Information

Primary practice address
537 E Vine Ave West Covina CA 91790-5126
Phone: (888) 763-4963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 49288 California

Profile Details

NPI number 1851997522
LBN Legal business name Diaz, Gene Ian
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - about 5 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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