Jorge Luis Diaz, is a
Community Health Worker based in Santa Monica, California. Jorge Luis Diaz is licensed to practice in * (Not Available) (license number ) and his current practice location is
1328 2nd St, Santa Monica, California. He can be reached at his office (for appointments etc.) via phone at
(310) 394-6889.
NPI number for Jorge Luis Diaz is 1073122107 and his current mailing address is 1328 2nd St, Santa Monica, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073122107.
Healthcare Provider's Profile
| Full Name | Jorge Luis Diaz |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1328 2nd St, Santa Monica, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073122107
- Provider Enumeration Date: 07/24/2020
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Jorge Luis Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073122107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jorge Luis Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jorge Luis Diaz,
1328 2nd St,
Santa Monica, CA 90401-1122
Ph: (310) 394-6889 | Jorge Luis Diaz,
1328 2nd St,
Santa Monica, CA 90401-1122
Ph: (310) 394-6889 |
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