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Dr. David G. Diaz, M.D.

Specialist in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1114009693
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1114009693
Entity type
Individual (NPI-1)
Name
Dr. David G. Diaz
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 20, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistA35698CAYes

Practice location

11160 Warner Ave
Suite # 411
Fountain Valley, CA 92708-4008

Phone 714-513-1399 · Fax 714-513-1393

Mailing address

9 Greenbier Ln
Newport Beach, CA 92660

Phone 714-513-1399 · Fax 714-513-1393

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