| Tarcisio C. Diaz, M.d. A Medical Corporation | |
|
900 S Main St Suite 100 Corona CA 92882-3401 | |
| (951) 738-9081 | |
| (951) 738-9081 |
| Full Name | Tarcisio C. Diaz, M.d. A Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 900 S Main St, Corona, California |
| Authorized Official Name and Position | Tarcisio Calibo Diaz (PRESIDENT) |
| Authorized Official Contact | 9517389081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarcisio C. Diaz, M.d. A Medical Corporation 900 S Main St Suite 100 Corona CA 92882-3401 Ph: (951) 738-9081 | Tarcisio C. Diaz, M.d. A Medical Corporation 900 S Main St Suite 100 Corona CA 92882-3401 Ph: (951) 738-9081 |
| NPI Number | 1891135752 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891135752 | NPI | - | NPPES |
| 00A462950 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A46295 (California) | Primary |
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