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 |
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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 |
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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 |
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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 |
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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 |