Organization Name: | LISA M. DIAZ MD INC. |
NPI Number: | 1154667095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA MARIE DIAZ (PRESIDENT) |
Mailing Address: | 351 Hospital Rd Suite 514 Newport Beach |
State: | CA US |
Postal Code: | 926633509 |
Phone Number: | 9495749709 |
Fax Number: | 9496506235 |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A51213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |