Search › California › 1041C0700X
Jacqueline Diaz
NPI 1558787911 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2620 Industry Way
Lynwood, CA 90262 - Phone
- (310) 667-4070
- Organisation at this address
- Shields For Families
Shields For Families
Shields For Families
Southern California Health & Rehabilitation ProgramInferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Additional practice sites
- 2640 Industry Way, Lynwood, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
101YM0800X
1041C0700X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-25
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