Diaz, Mark Jason

Diaz, Mark Jason is an individual health care provider with primary practice located at 2020 Sutter Pl Ste 104 , Davis CA 95616-6217. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Diaz, Mark Jason can be contacted via phone (530) 750-5900.

Contact Information

Primary practice address
2020 Sutter Pl Ste 104 Davis CA 95616-6217
Phone: (530) 750-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 54564 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54564 California

Profile Details

NPI number 1164942116
LBN Legal business name Diaz, Mark Jason
Credentials PA-C, MS, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Jul 3rd, 2017 - about 7 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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