| Alex R Diaz Inc | |
|
5401 Norris Canyon Rd Ste 308 San Ramon CA 94583-5408 | |
| (925) 866-8822 | |
| (925) 866-8323 |
| Full Name | Alex R Diaz Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5401 Norris Canyon Rd Ste 308, San Ramon, California |
| Authorized Official Name and Position | Alex R Diaz (PRESIDENT) |
| Authorized Official Contact | 9258668822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex R Diaz Inc 5401 Norris Canyon Rd Ste 308 San Ramon CA 94583-5408 Ph: (925) 866-8822 | Alex R Diaz Inc 5401 Norris Canyon Rd Ste 308 San Ramon CA 94583-5408 Ph: (925) 866-8822 |
| NPI Number | 1760246284 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 5395181606 |
|---|---|
| Medicare Enrollment ID | O20240308002592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760246284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alex Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659759363 PECOS PAC ID: 6608292313 Enrollment ID: I20210921000801 |
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