Didech, Dean M.

Didech, Dean M. is an individual health care provider with primary practice located at 227 N Jackson Ave , San Jose CA 95116-1603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Didech, Dean M. can be contacted via phone (408) 347-2030.

Contact Information

Primary practice address
227 N Jackson Ave San Jose CA 95116-1603
Fax: (408) 347-2192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G35698 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X G35698 California

Profile Details

NPI number 1417973942
LBN Legal business name Didech, Dean M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Oct 10th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417973942 NPPES
California MEDICAID 00G356980

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