NPI 1427769678
Jorge Raul Diaz
Practice location
- Address
- 2334 Grandeur Ave, Altadena, CA 91001-5534
- Phone
- (626) 353-8241
- Mailing address
- 1816 S Figueroa St Fl 6, Los Angeles, CA 90015-3422
Registered specialties (2)
Day Training/Habilitation Specialist
Primary
Community Health Worker
Registry record
- NPI
- 1427769678
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Dec 2022
- Record last updated
- 12 May 2025
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.