| Rd Dipp Do | |
|
1350 Columbia St Unit 800 San Diego CA 92101-3454 | |
| (619) 255-1649 | |
| (619) 255-1649 |
| Full Name | Rd Dipp Do |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1350 Columbia St, San Diego, California |
| Authorized Official Name and Position | Randolf Dipp (PRESIDENT) |
| Authorized Official Contact | 6192551649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rd Dipp Do 1350 Columbia St Unit 800 San Diego CA 92101-3454 Ph: (619) 255-1649 | Rd Dipp Do 1350 Columbia St Unit 800 San Diego CA 92101-3454 Ph: (619) 255-1649 |
| NPI Number | 1003261355 |
|---|---|
| Provider Enumeration Date | 04/24/2016 |
| Last Update Date | 04/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003261355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A8075 (California) | Primary |
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