Healthcare Provider Details

I. General information

NPI: 1326970633
Provider Name (Legal Business Name): GABRIELLA RITA DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 REMINGTON AVE
BAKERSFIELD CA
93309-1224
US

IV. Provider business mailing address

5200 OLD FARM RD APT 218
BAKERSFIELD CA
93312-6919
US

V. Phone/Fax

Practice location:
  • Phone: 661-832-6415
  • Fax: 661-831-7391
Mailing address:
  • Phone: 661-832-6415
  • Fax: 661-831-7391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number40411
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: