NPI 1093640708

Jonathan Hernandez Diaz

Practitioner Prosthetist Los Angeles, CA

Practice location

Address: 11301 Wilshire Blvd Bldg 304, Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Mailing address: 1835 S Redondo Blvd, Los Angeles, CA 90019-5363

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1093640708
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2026
Record last updated: 15 Jun 2026

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.