Dr Stephanie Diebold, MD | |
9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | |
(833) 574-2273 | |
Not Available |
Full Name | Dr Stephanie Diebold |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 9455 Clairemont Mesa Blvd, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760878326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | DR.0060333 (Colorado) | Secondary |
207P00000X | Emergency Medicine | A160336 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Diebold, MD 777 Bannock St # Mc0108, Denver Health Medical Center, Denver, CO 80204-4507 Ph: (303) 602-5183 | Dr Stephanie Diebold, MD 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 Ph: (833) 574-2273 |
Sarah Wilkinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8819, San Diego, CA 92103 Phone: 956-458-9885 | |
Dr. Ramandeep Singh Dhillon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 El Cajon Blvd, San Diego, CA 92115 Phone: 619-515-2400 | |
Phillip Edward Fry Jr., DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Mina Kyrollus Ghobrial, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Timothy Stuart Hinman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 4th Ave, San Diego, CA 92101 Phone: 858-499-2600 | |
Dr. Peter D. Aldrich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15025 Innovation Dr, San Diego, CA 92128 Phone: 858-554-8638 | |
Dr. Matthew J. Perl, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7171 |