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NPI Code Detail

MEDICARE: BRITTNEY DIAZ

MEDICARE:   BRITTNEY  DIAZ
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1093673402
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY DIAZ
Provider Business Mailing Address
First Line : 81351 FRED WARING DR APT 310
Second Line :
City : INDIO
State : CA
Zip : 92201-1949
Country : US
Telephone Number : 760-300-8600
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 760-299-5181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ BRITTNEY DIAZ ” Practice Location

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