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NPI Code Detail

MEDICARE: MARTHA ALEJANDRA DIAZ

MEDICARE: MARTHA ALEJANDRA 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
1171400000XHealth & Wellness CoachCA

General Provider Information

NPI Number : 1669338984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA ALEJANDRA DIAZ
Provider Business Mailing Address
First Line : 3555 POLK ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92505-1915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 390 N EUCLID AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-6031
Country : US
Telephone Number : 619-353-7050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ MARTHA ALEJANDRA DIAZ ” Practice Location

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