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NPI Code Detail

MEDICARE: DIANA MAI DIAZ M.D.

MEDICARE: DIANA MAI DIAZ M.D.
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
2207L00000XAnesthesiology PhysicianA118500CA

General Provider Information

NPI Number : 1932424793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA MAI DIAZ M.D.
Provider Business Mailing Address
First Line : 333 CITY BLVD W STE 2150
Second Line :
City : ORANGE
State : CA
Zip : 92868-5920
Country : US
Telephone Number : 949-351-0656
Fax Number :
Provider Business Practice Location Address
First Line : 333 CITY BLVD W STE 2150
Second Line :
City : ORANGE
State : CA
Zip : 92868-5920
Country : US
Telephone Number : 949-351-0656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2010
Last Update Date : 12/21/2021

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Directions to “ DIANA MAI DIAZ M.D.” Practice Location

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