Diaz, Fredy Jesus

Diaz, Fredy Jesus is an individual health care provider with primary practice located at Po Box 6609 , Big Bear Lake CA 92315-6609. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Diaz, Fredy Jesus can be contacted via phone (909) 878-2326.

Contact Information

Primary practice address
Po Box 6609 Big Bear Lake CA 92315-6609
Phone: (909) 878-2326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-HFEGQM California
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1083430854
LBN Legal business name Diaz, Fredy Jesus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2024
Last updated Dec 4th, 2025 - about last year

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.

Request for update

Popular Providers