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Osvaldo Diaz Lopez

Student in an Organized Health Care Education/Training Program in Santa Cruz, CA. Individual provider (NPI-1).

NPI number1316674591
StatusActive
Last updated in NPPESMay 29, 2026

Details

NPI
1316674591
Entity type
Individual (NPI-1)
Name
Osvaldo Diaz Lopez
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2022
Certification date
May 29, 2026
Last updated
May 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–CAYes

Practice location

700 Frederick St Ste 103s
Santa Cruz, CA 95062-2239

Phone 855-223-7123 · Fax 619-374-7134

Mailing address

700 Frederick St Ste 103s
Santa Cruz, CA 95062-2239

Phone 855-223-7123 · Fax 619-374-7134

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