Carmen Rene' Diaz
Community Health Worker in Palm Desert, CA. Individual provider (NPI-1).
NPI number1881460301
StatusActive
Last updated in NPPESMay 30, 2025
Details
- NPI
- 1881460301
- Entity type
- Individual (NPI-1)
- Name
- Carmen Rene' Diaz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 27, 2023
- Certification date
- May 30, 2025
- Last updated
- May 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 225400000X | Rehabilitation Practitioner | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
41990 Cook St Ste 801aPalm Desert, CA 92211-6103
Phone 442-666-3217 · Fax 760-616-7035
Mailing address
41990 Cook St Ste 801aPalm Desert, CA 92211-6103
Phone 442-666-3217 · Fax 760-616-7035
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