Diaz, Genaro F
Diaz, Genaro F is an individual health care provider with primary practice located at 1779 W Yosemite Ave , Manteca CA 95337-5130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics, which is considered as his primary health care specialty. Diaz, Genaro F can be contacted via phone (209) 824-4200.Contact Information
Primary practice address
1779 W Yosemite Ave
Manteca CA 95337-5130
Phone: (209) 824-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pulmonary Diagnostics | 2279P1004X | 25903 | California |
Profile Details
| NPI number | 1114482783 |
|---|---|
| LBN Legal business name | Diaz, Genaro F |
| Credentials | RCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2019 |
| Last updated | Jan 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114482783 | NPPES |
| California | Other | 25903 | RCP |
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