Diaz, Jaime Alonso

Diaz, Jaime Alonso is an individual health care provider with primary practice located at 4929 Van Nuys Blvd , Sherman Oaks CA 91403-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Diaz, Jaime Alonso can be contacted via phone (818) 907-4570.

Contact Information

Primary practice address
4929 Van Nuys Blvd Sherman Oaks CA 91403-1702
Phone: (818) 907-4570
Fax: (818) 907-2814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A88200 California

Profile Details

NPI number 1790727949
LBN Legal business name Diaz, Jaime Alonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 13th, 2008 - about 16 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 1790727949 NPPES
California MEDICAID 00A882000

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