Kelly Ethel Diaz
NPI #1104641059 in La Canada, California
Provider Information
- NPI Number
- 1104641059
- Entity Type
- Individual
- Name
- Kelly Ethel Diaz
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Nov 16, 2024
- Last Updated
- Sep 14, 2025
Practice Location
- Address
- 200 FOOTHILL BLVD
- City
- La Canada
- State
- California
- ZIP Code
- 91011-3700
- Phone
- (818) 826-1637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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