Diaz, Jorge Luis

Diaz, Jorge Luis is an sole proprietor health care provider with primary practice located at 1328 2Nd St , Santa Monica CA 90401-1122. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Diaz, Jorge Luis can be contacted via phone (310) 394-6889.

Contact Information

Primary practice address
1328 2Nd St Santa Monica CA 90401-1122
Phone: (310) 394-6889
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1073122107
LBN Legal business name Diaz, Jorge Luis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2020
Last updated Apr 16th, 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.

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