Diaz, Derek

Diaz, Derek is an sole proprietor health care provider with primary practice located at 2821 S Cascades Trl , Ontario CA 91761-7234. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Diaz, Derek can be contacted via phone (909) 732-0197.

Contact Information

Primary practice address
2821 S Cascades Trl Ontario CA 91761-7234
Phone: (909) 732-0197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95021897 California

Profile Details

NPI number 1831811157
LBN Legal business name Diaz, Derek
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2022
Last updated Sep 13th, 2022 - about 4 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.

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