Diaz, Edgar

Diaz, Edgar is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. He recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Diaz, Edgar can be contacted via phone (707) 784-1133.

Contact Information

Primary practice address
2101 Courage Dr Fairfield CA 94533-6717
Phone: (707) 784-1133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1306378260
LBN Legal business name Diaz, Edgar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2017
Last updated Aug 25th, 2026 - about 2 months 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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