Bbtd Psychiatry Pc | |
21550 W Oxnard St # F10 Woodland Hills CA 91367 | |
(818) 251-6961 | |
Not Available |
Full Name | Bbtd Psychiatry Pc |
---|---|
Speciality | Nurse Practitioner |
Location | 21550 W Oxnard St # F10, Woodland Hills, California |
Authorized Official Name and Position | Diep Le Dinh (OWNER) |
Authorized Official Contact | 8182516961 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bbtd Psychiatry Pc 21825 Erwin St # 1014 Woodland Hills CA 91367-3610 Ph: () - | Bbtd Psychiatry Pc 21550 W Oxnard St # F10 Woodland Hills CA 91367 Ph: (818) 251-6961 |
NPI Number | 1659141299 |
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Provider Enumeration Date | 01/04/2024 |
Last Update Date | 04/22/2024 |
Certification Date | 04/02/2024 |
Medicare PECOS PAC ID | 2466897962 |
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Medicare Enrollment ID | O20240223002420 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659141299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Diep Le Dinh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124802137 PECOS PAC ID: 5597113530 Enrollment ID: I20231130002968 |
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