Diaz, Gustavo A.

Diaz, Gustavo A. is an individual health care provider with primary practice located at 1513 Fremont Blvd E1, Seaside CA 93955-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Diaz, Gustavo A. can be contacted via phone (831) 899-1910.

Contact Information

Primary practice address
1513 Fremont Blvd E1 Seaside CA 93955-4319
Phone: (831) 899-1910
Fax: (831) 393-9483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53006 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C54872 California

Profile Details

NPI number 1538122635
LBN Legal business name Diaz, Gustavo A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Oct 10th, 2014 - about 10 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 1538122635 NPPES
Massachusetts Other 000000006706 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 102531 BMC
Massachusetts Other 2359897 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 04-3329195 BMC
Massachusetts Other 053006 BMC
Massachusetts Other 24922 BMC
Massachusetts MEDICAID 3000915 BMC
Massachusetts Other 438822 BMC
Massachusetts Other 632919 BMC
Massachusetts Other J08576 BMC
Massachusetts Other 04-3329195 BMC

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