Dietrick, Todd B
Dietrick, Todd B is an sole proprietor health care provider with primary practice located at 800 S Raymond Ave , Pasadena CA 91105-3229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Dietrick, Todd B can be contacted via phone (626) 795-8051.Contact Information
Primary practice address
800 S Raymond Ave
Pasadena CA 91105-3229
Phone: (626) 795-8051
Fax: (626) 795-0356
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A70565 | California |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | A70565 | California |
Profile Details
NPI number | 1619963444 |
---|---|
LBN Legal business name | Dietrick, Todd B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 27th, 2005 |
Last updated | Jun 27th, 2024 - about 3 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619963444 | NPPES |
California | Other | P00205814 | RAIL ROAD MEDICARE |
California | Other | A70565 | RAIL ROAD MEDICARE |
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