National Provider Identifier Database

MARISSA M DIAZ, LCSW, PPSC – NPI #1902579030
School


Contact Information

MARISSA M DIAZ, LCSW, PPSC
10331 STANFORD AVE
GARDEN GROVE, CA92840-6351
Phone: 714-663-6000
Fax:
Website:
Specialty Taxonomy Code
* School 1041S0200X

* Indicates primary specialty

NPI Profile & details for MARISSA M DIAZ

NPI Number 1902579030
Credentials LCSW, PPSC
Entity Individual
Enumeration date 07/26/2021
Last updated 05/18/2026 - About 3 weeks ago
Sole proprietor1 No
Identifiers
  • CA License #: 122024
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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