Search › California › 124Q00000X
Jeannette Diaz
NPI 1164987632 · on the registry since 2019 · sole proprietor
Practice
- Address
- 217 E 8th St Apt 1101
Los Angeles, CA 90014 - Phone
- (562) 712-6232
- Organisation at this address
- Black Kids Travel Organization Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 11709 Downey Ave Apt 30, Downey, CA
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California