Fanny Dieppa, is a
Rehabilitation Practitioner based in Los Angeles, California. Fanny Dieppa is licensed to practice in * (Not Available) (license number ) and her current practice location is
12099 W Washington Blvd Ste 200, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(301) 751-1173.
NPI number for Fanny Dieppa is 1205954989 and her current mailing address is 12099 W Washington Blvd Ste 200, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205954989.
Healthcare Provider's Profile
| Full Name | Fanny Dieppa |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 12099 W Washington Blvd Ste 200, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205954989
- Provider Enumeration Date: 03/27/2007
- Last Update Date: 09/24/2013
Medical Identifiers
Medical identifiers for Fanny Dieppa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205954989 | NPI | - | NPPES |
| PSIX455 | Other | CA | PROVIDER NUMBER |
| C014257 | Other | CA | IS ACCESS NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 174400000X | Specialist | DATA ENTRY (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fanny Dieppa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Fanny Dieppa, 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 Ph: (301) 751-1173 | Fanny Dieppa, 12099 W Washington Blvd Ste 200, Los Angeles, CA 90066-2622 Ph: (301) 751-1173 |
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