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
Fax: (760) 566-3569
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205386372 NPPES
California Other 73024 BOARD OF BEHAVIORAL SCIENCES

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