SearchCalifornia207R00000X

Gervacio Diaz, M.D

NPI 1700835451 · on the registry since 2006 · sole proprietor

Practice

Address
2013 Coffee Rd
Modesto, CA 95355
Phone
(209) 529-8506
Fax
(209) 529-8524
Organisation at this address
Gervacio D Diaz Iii Md Inc
Walter Wai-Tak Chien Md, A Professional Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-13

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