Diaz, Joseph Michael
Diaz, Joseph Michael is an individual health care provider with primary practice located at 10885 Telegraph Rd , Ventura CA 93004-1272. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Diaz, Joseph Michael can be contacted via phone (805) 647-7704.Contact Information
Primary practice address
10885 Telegraph Rd
Ventura CA 93004-1272
Phone: (805) 647-7704
Fax: (833) 916-2148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA11970 | California |
Profile Details
| NPI number | 1023114709 |
|---|---|
| LBN Legal business name | Diaz, Joseph Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Sep 22nd, 2021 - about 5 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 | 1023114709 | NPPES |
| California | Other | PA1170 | PHYSICIAN ASSISTANT -CERT |
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