Pagtalunan, Maria Enrica Diaz

Pagtalunan, Maria Enrica Diaz is an individual health care provider with primary practice located at 2905 Telegraph Ave , Berkeley CA 94705-2017. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Pagtalunan, Maria Enrica Diaz can be contacted via phone (510) 841-4525.

Contact Information

Primary practice address
2905 Telegraph Ave Berkeley CA 94705-2017
Phone: (510) 841-4525
Fax: (510) 204-9086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A48370 California

Profile Details

NPI number 1629175310
LBN Legal business name Pagtalunan, Maria Enrica Diaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated May 29th, 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 1629175310 NPPES
California Other 390003257 RAILROAD MEDICARE
California MEDICAID 00A483700 RAILROAD MEDICARE

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