Individual provider · Type 1 NPI

Jacqueline K. Diaz

Student in an Organized Health Care Education/Training Program · Culver City, CA

NPI number 1487533410 Active

Practice location

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Call (310) 945-3350 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

330 other providers at this address

Other student in an organized health care education/training program providers in Culver City

See all in Culver City →

About NPI 1487533410

Jacqueline K. Diaz's National Provider Identifier is 1487533410, issued on Sep 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Sep 26, 2025.