MEDICARE: SILVIA DIAZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	98336	CA

General Provider Information

NPI Number	:	1699789628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA DIAZ LCSW

Provider Business Mailing Address
First Line	:	3303 N BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-2803
Country	:	US
Telephone Number	:	323-478-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 N BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-2803
Country	:	US
Telephone Number	:	323-478-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/22/2021

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Directions to “ SILVIA DIAZ LCSW” Practice Location

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