Individual provider · Type 1 NPI

Jonathan Hernandez Diaz

Prosthetist · Los Angeles, CA

NPI number 1093640708 Active

Practice location

11301 Wilshire Blvd Bldg 304
Los Angeles, CA 90073-1003

Mailing address

1835 S Redondo Blvd
Los Angeles, CA 90019-5363

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1093640708

Jonathan Hernandez Diaz's National Provider Identifier is 1093640708, issued on Jun 15, 2026. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 15, 2026.