Jordan Maria Diaz, PA-C
NPI #1013743244 in Culver City, California
Provider Information
- NPI Number
- 1013743244
- Entity Type
- Individual
- Name
- Jordan Maria Diaz, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 13, 2024
- Last Updated
- Nov 7, 2024
Practice Location
- Address
- 3861 SEPULVEDA BLVD
- City
- Culver City
- State
- California
- ZIP Code
- 90230-4605
- Phone
- (310) 450-4773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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