NPI 1023114709

Joseph Michael Diaz, PAC

Practitioner Physician Assistant Ventura, CA

Practice location

Address: 10885 Telegraph Rd, Ventura, CA 93004-1272
Phone: (805) 647-7704
Fax: (833) 916-2148

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA11970 (CA)

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Registry record

NPI: 1023114709
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2006
Record last updated: 22 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.