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Fredy Diaz

NPI 1083430854 · on the registry since 2024

Practice

Address
Po Box 6609
Big Bear Lake, CA 92315
Phone
(909) 878-2326
Organisation at this address
The Mom & Dad Project
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
175T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California