Provider / Organization | NPI | Date Certified |
---|---|---|
LORENA D DIAZ-RODRIGUEZ | 1649869389 | 2021-01-17 |
Lorena D Diaz-rodriguez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649869389. Registration indicates Lorena D Diaz-rodriguez is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Lorena D Diaz-rodriguez NP |
Practice Office Address | 1451 SHATTUCK AVE BERKELEY, CA US |
Practice Office Telephone | 4156641834 |
Mailing Address | 1451 SHATTUCK AVE BERKELEY, CA 947091410 US |
Business Telephone | 4156641834 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95011003
CA |