Individual ProviderHortencia DiazMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address73550 Alessandro Dr Ste 200, Palm Desert, CA 92260(760) 834-9008PECOS EnrollmentBased on the most recent information from CMS, provider Hortencia Diaz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1073983177Provider TypeIndividualFull NameDiaz, HortenciaGenderFemaleSole ProprietorYesEnumeration Date10/1/2015Last Updated7/13/2018Contact InformationPractice LocationPractice Address73550 Alessandro Dr Ste 200, Palm Desert, CA 92260Phone(760) 834-9008FaxUnlisted FaxMailing LocationMailing Address73550 Alessandro Dr Ste 200, Palm Desert, CA 92260-3613Phone(760) 834-9008FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense103290CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer