Maynor Diaz, is a
Community Health Worker based in Gardena, California. Maynor Diaz is licensed to practice in * (Not Available) (license number ) and his current practice location is
1045 W Redondo Beach Blvd Ste 300, Gardena, California. He can be reached at his office (for appointments etc.) via phone at
(323) 241-6730.
NPI number for Maynor Diaz is 1245803170 and his current mailing address is 1045 W Redondo Beach Blvd Ste 300, Gardena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245803170.
Healthcare Provider's Profile
| Full Name | Maynor Diaz |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1045 W Redondo Beach Blvd Ste 300, Gardena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245803170
- Provider Enumeration Date: 07/19/2021
- Last Update Date: 02/26/2025
Medical Identifiers
Medical identifiers for Maynor Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245803170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Maynor 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 |
|---|
Maynor Diaz,
1045 W Redondo Beach Blvd Ste 300,
Gardena, CA 90247-4175
Ph: (323) 241-6730 | Maynor Diaz,
1045 W Redondo Beach Blvd Ste 300,
Gardena, CA 90247-4175
Ph: (323) 241-6730 |
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