Diaz, Angelica
Diaz, Angelica is an individual health care provider with primary practice located at 947 S Anaheim Blvd Suite 270, Anaheim CA 92805-5582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Diaz, Angelica can be contacted via phone (714) 535-1415.Contact Information
Primary practice address
947 S Anaheim Blvd Suite 270
Anaheim CA 92805-5582
Phone: (714) 535-1415
Fax: (714) 635-6771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | FP-C 15085 | California |
Profile Details
| NPI number | 1679654248 |
|---|---|
| LBN Legal business name | Diaz, Angelica |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679654248 | NPPES |
| California | MEDICAID | GR0090750 | |
| California | Other | NP 15085 | |
| California | Other | F1104107 |
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