Diaz, Manuel Carlos

Diaz, Manuel Carlos is an individual health care provider with primary practice located at 475 Pioneer Ave Suite 400, Woodland CA 95776-4905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Diaz, Manuel Carlos can be contacted via phone (530) 406-5600.

Contact Information

Primary practice address
475 Pioneer Ave Suite 400 Woodland CA 95776-4905
Fax: (530) 406-5626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7575 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A7575 California

Profile Details

NPI number 1801994082
LBN Legal business name Diaz, Manuel Carlos
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 14th, 2015 - 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 1801994082 NPPES
California MEDICAID GR0071910

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