Diaz, Rafael Miguel

Diaz, Rafael Miguel is an sole proprietor health care provider with primary practice located at 1144 Sonoma Ave Suite 104, Santa Rosa CA 95405-4812. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Diaz, Rafael Miguel can be contacted via phone (415) 420-1576.

Contact Information

Primary practice address
1144 Sonoma Ave Suite 104 Santa Rosa CA 95405-4812
Phone: (415) 420-1576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY26377 California

Profile Details

NPI number 1467847103
LBN Legal business name Diaz, Rafael Miguel
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2015
Last updated Mar 31st, 2015 - about 11 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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