Diaz, Jordan Maria

Diaz, Jordan Maria is an sole proprietor health care provider with primary practice located at 3861 Sepulveda Blvd , Culver City CA 90230-4605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Diaz, Jordan Maria can be contacted via phone (310) 450-4773.

Contact Information

Primary practice address
3861 Sepulveda Blvd Culver City CA 90230-4605
Phone: (310) 450-4773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1013743244
LBN Legal business name Diaz, Jordan Maria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2024
Last updated Nov 7th, 2024 - about 2 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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