Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301083300 | MI |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A074869 | CA |
NPI | 1053354597 |
---|---|
Provider Name | Dr. Rodney C. Diaz |
First Address | Sacramento, CA 95817-2207 |
Second Address | Sacramento, CA 95817-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 08/01/2008 |