Diaz, Jessica

Diaz, Jessica is an individual health care provider with primary practice located at 108 W Victoria St , Gardena CA 90248-3523. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Diaz, Jessica can be contacted via phone (310) 715-2020.

Contact Information

Primary practice address
108 W Victoria St Gardena CA 90248-3523
Phone: (310) 715-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X California

Profile Details

NPI number 1023779840
LBN Legal business name Diaz, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2022
Last updated Jan 26th, 2022 - about 3 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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