Diaz, Jonathan

Diaz, Jonathan is an individual health care provider with primary practice located at 1403 Lomita Blvd Ste 102 , Harbor City CA 90710-2084. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Diaz, Jonathan can be contacted via phone (310) 602-2550.

Contact Information

Primary practice address
1403 Lomita Blvd Ste 102 Harbor City CA 90710-2084
Phone: (310) 602-2550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A185279 California

Profile Details

NPI number 1962023275
LBN Legal business name Diaz, Jonathan
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2020
Last updated Sep 29th, 2023 - about 3 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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