Diaz, Gustavo

Diaz, Gustavo is an individual health care provider with primary practice located at 12625 Hesperia Rd , Victorville CA 92395-7720. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Diaz, Gustavo can be contacted via phone (760) 995-8344.

Contact Information

Primary practice address
12625 Hesperia Rd Victorville CA 92395-7720
Phone: (760) 995-8344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1780407874
LBN Legal business name Diaz, Gustavo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2024
Last updated May 12th, 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