Robert Richard Diaz | Long Beach, CA • PECOS Search

Robert Richard Diaz

Counselor

Behavioral Health & Social Service Providers

1975 Long Beach Blvd, Long Beach, CA 90806-5501

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Richard Diaz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1700021318
Provider Type
Individual
Full Name
Diaz, Robert Richard
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/10/2008
Last Updated
12/10/2008

Contact Information

Practice Location

1975 Long Beach Blvd, Long Beach, CA 90806-5501

(562) 599-3934

Mailing Location

1975 Long Beach Blvd, Long Beach, CA 90806-5501

(562) 599-3934

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer