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Joseph Michael Diaz, PA-C

Physician Assistant in Ventura, CA. Individual provider (NPI-1).

NPI number1023114709
StatusActive
Last updated in NPPESSep 22, 2021

Details

NPI
1023114709
Entity type
Individual (NPI-1)
Name
Mr. Joseph Michael Diaz
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Sep 16, 2006
Certification date
Sep 22, 2021
Last updated
Sep 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA11970CAYes

Practice location

10885 Telegraph Rd
Ventura, CA 93004-1272

Phone 805-647-7704 · Fax 833-916-2148

Mailing address

10885 Telegraph Rd
Ventura, CA 93004-1272

Phone 805-647-7704 · Fax 805-647-4291

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