Diaz, Jorge A
Diaz, Jorge A is an individual health care provider with primary practice located at 4060 E Whittier Blvd , Los Angeles CA 90023-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Diaz, Jorge A can be contacted via phone (323) 268-5514.Contact Information
Primary practice address
4060 E Whittier Blvd
Los Angeles CA 90023-2526
Phone: (323) 268-5514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G44167 | California |
Profile Details
| NPI number | 1346207693 |
|---|---|
| LBN Legal business name | Diaz, Jorge A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Aug 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346207693 | NPPES |
| California | MEDICAID | 00G441670 |
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