Diaz, Roberto

Diaz, Roberto is an sole proprietor health care provider with primary practice located at 1828 El Camino Real Suite 601, Burlingame CA 94010-3103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Diaz, Roberto can be contacted via phone (650) 692-9111.

Contact Information

Primary practice address
1828 El Camino Real Suite 601 Burlingame CA 94010-3103
Phone: (650) 692-9111
Fax: (650) 692-9114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A53002 California

Profile Details

NPI number 1669453775
LBN Legal business name Diaz, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Nov 14th, 2007 - about 18 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 1669453775 NPPES
California MEDICAID 00A530020

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