Diedrich, Justin
Diedrich, Justin is an sole proprietor health care provider with primary practice located at 1873 Commercenter W , San Bernardino CA 92408-3303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Diedrich, Justin can be contacted via phone (714) 922-4100.Contact Information
Primary practice address
1873 Commercenter W
San Bernardino CA 92408-3303
Phone: (714) 922-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2013023316 | Missouri |
Profile Details
| NPI number | 1396978037 |
|---|---|
| LBN Legal business name | Diedrich, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2009 |
| Last updated | Mar 3rd, 2021 - about 4 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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