SearchCalifornia2255A2300X

Jacob Diaz, ATC

NPI 1306733365 · on the registry since 2025 · sole proprietor

Practice

Address
11666 Inwood Dr
Riverside, CA 92503
Phone
(951) 727-6249

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-23

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