Kimberly E Diaz, is a
Social Worker - Clinical based in Loma Linda, California. Kimberly E Diaz is licensed to practice in Illinois (license number 150.112013) and her current practice location is
11201 Benton St, Loma Linda, California. She can be reached at her office (for appointments etc.) via phone at
(909) 825-7084.
NPI number for Kimberly E Diaz is 1063995413 and her current mailing address is 11201 Benton St, Loma Linda, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063995413.
Healthcare Provider's Profile
Full Name | Kimberly E Diaz |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11201 Benton St, Loma Linda, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063995413
- Provider Enumeration Date: 09/12/2018
- Last Update Date: 05/01/2024
Medical Identifiers
Medical identifiers for Kimberly E Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063995413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW96426 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 150.112013 (Illinois) | 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. Kimberly E 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 |
Kimberly E Diaz, 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 | Kimberly E Diaz, 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084 |
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