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Jasmine Vanessa Diaz, CTRS

Recreation Therapist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1952292617
StatusActive
Last updated in NPPESJul 11, 2025

Details

NPI
1952292617
Entity type
Individual (NPI-1)
Name
Jasmine Vanessa Diaz
Credential
CTRS
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2025
Certification date
Jul 10, 2025
Last updated
Jul 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist85711CAYes

Practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Phone 323-409-1000

Mailing address

2051 Marengo St
Los Angeles, CA 90033-1352

Phone 323-409-1000

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