Diaz, Marisa Inez
Diaz, Marisa Inez is an individual health care provider with primary practice located at 325 Buena Creek Rd , San Marcos CA 92069-9679. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Diaz, Marisa Inez can be contacted via phone (760) 754-5500.Contact Information
Primary practice address
325 Buena Creek Rd
San Marcos CA 92069-9679
Phone: (760) 754-5500
Fax: (760) 566-3569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 73024 | California |
Profile Details
| NPI number | 1205386372 |
|---|---|
| LBN Legal business name | Diaz, Marisa Inez |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2016 |
| Last updated | Oct 17th, 2016 - about 10 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 | 1205386372 | NPPES |
| California | Other | 73024 | BOARD OF BEHAVIORAL SCIENCES |
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