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EDUARDO DIAZ DDS PC NPI 1598990319


NPI Information

NPI: 1598990319
Provider Name: EDUARDO DIAZ DDS PC

Doing Business As: NORTH PARK SMILES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3795 30TH ST
SAN DIEGO, CA
ZIP 92104
Phone: (619) 220-0548
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EDUARDO DIAZ DDS PC is a clinic center in San Diego, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EDUARDO DIAZ DDS PC NPI is 1598990319. The provider is registered as an organization entity type.
The provider Is Doing Business As North Park Smiles.

The provider's business location address is:

3795 30TH ST
SAN DIEGO, CA
ZIP 92104-631
Phone: (619) 220-0548
Fax: (619) 220-8604

The provider's authorized official is Eduardo Diaz .
The authorized official title is President and has the following contact phone number (619) 220-0548.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center44306CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922157288OTHERCALIFORNIADENTICAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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