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General NPI Number Information
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NPI Number | 1154738599
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Entity Type | Individual
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Provider Name | CLAUDIO DIAZ LEDEZMA
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Gender | Male
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1500 OWENS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2334
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Country | US
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Telephone | 415-353-2509
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Fax | 415-353-2956
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Provider Business Mailing Address
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Address Line | 1422 5TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-3807
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Country | US
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Telephone | 415-613-2113
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MD450697
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | SPI805
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License Number State | CA
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