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Contact Information

ROSA DIAZ
15095 AMARGOSA ROAD
SUITE 201
VICTORVILLE, CA92394
 Phone: 760-245-4695
 Fax: 760-513-4676
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for ROSA DIAZ · (Female)

NPI Number 1144653783
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2013
Last updated 12/21/2017 - About 8 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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