Jessica Michelle Diaz, is a
Day Training/habilitation Specialist based in Los Angeles, California. Jessica Michelle Diaz is licensed to practice in California (license number ) and her current practice location is
3850 Crenshaw Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 593-5300.
NPI number for Jessica Michelle Diaz is 1154899474 and her current mailing address is 3850 Crenshaw Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154899474.
Healthcare Provider's Profile
| Full Name | Jessica Michelle Diaz |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 3850 Crenshaw Blvd, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154899474
- Provider Enumeration Date: 11/05/2018
- Last Update Date: 01/27/2026
Medical Identifiers
Medical identifiers for Jessica Michelle Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154899474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1327221118 (California) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Michelle Diaz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessica Michelle Diaz, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 593-5300 | Jessica Michelle Diaz, 3850 Crenshaw Blvd, Los Angeles, CA 90008-1821 Ph: (323) 593-5300 |
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