| Dr Justin Diedrich, MD | |
|
29525 Canwood St Ste 220, Agoura Hills, CA 91301-4231 | |
| (818) 722-3262 | |
| (818) 584-8882 |
| Full Name | Dr Justin Diedrich |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 29525 Canwood St Ste 220, Agoura Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396978037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | A114859 (California) | Primary |
| Entity Name | University Of California Irvine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431 |
| Entity Name | Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356304034 PECOS PAC ID: 0143128009 Enrollment ID: O20031230000251 |
| Entity Name | Planned Parenthood Pasadena And San Gabriel Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073669040 PECOS PAC ID: 8628487352 Enrollment ID: O20210511001009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Diedrich, MD 29525 Canwood St Ste 220, Agoura Hills, CA 91301-4231 Ph: (818) 722-3262 | Dr Justin Diedrich, MD 29525 Canwood St Ste 220, Agoura Hills, CA 91301-4231 Ph: (818) 722-3262 |
Anita P Singh-craighead, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St, Ste 210, Agoura Hills, CA 91301 Phone: 818-889-4532 Fax: 818-889-4536 |