Diaz, Jorge Raul
Diaz, Jorge Raul is an sole proprietor health care provider with primary practice located at 2334 Grandeur Ave , Altadena CA 91001-5534. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Diaz, Jorge Raul can be contacted via phone (626) 353-8241.Contact Information
Primary practice address
2334 Grandeur Ave
Altadena CA 91001-5534
Phone: (626) 353-8241
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1427769678 |
|---|---|
| LBN Legal business name | Diaz, Jorge Raul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2022 |
| Last updated | Dec 8th, 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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