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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1619963444 NPPES
California Other P00205814 RAIL ROAD MEDICARE
California Other A70565 RAIL ROAD MEDICARE

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