Search › California › 164X00000X
Susana Diaz, VN 218123
NPI 1215642707 · on the registry since 2023
Practice
- Address
- 16921 E Avenue O Ste G
Lake Los Angeles, CA 93591 - Phone
- (661) 225-3105
- Fax
- (661) 524-2942
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-18
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