Dr Hiram Great Diaz Diaz, CRNA | |
7916 E Woodsboro Ave, Anaheim, CA 92807-2435 | |
(949) 257-5734 | |
Not Available |
Full Name | Dr Hiram Great Diaz Diaz |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 7916 E Woodsboro Ave, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821600420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 95066307 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002190 (California) | Primary |
Entity Name | Coachella Valley Anesthesia A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
Mailing Address | Practice Location Address |
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Dr Hiram Great Diaz Diaz, CRNA 7916 E Woodsboro Ave, Anaheim, CA 92807-2435 Ph: (949) 257-5734 | Dr Hiram Great Diaz Diaz, CRNA 7916 E Woodsboro Ave, Anaheim, CA 92807-2435 Ph: (949) 257-5734 |
Laura Koh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-2000 | |
Teresa Huang, RN, MSN, FNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-2000 | |
Carol J Wesner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Carol A Dilibero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-279-4487 | |
Edward H Marthaler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Susan M Heravi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Tracy L Ouzounian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |