| Ronald C. Diebel, M.d. A Professional Corporation | |
|
251 Oconnor Dr Suite 1 San Jose CA 95128-1656 | |
| (408) 314-5000 | |
| Not Available |
| Full Name | Ronald C. Diebel, M.d. A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 251 Oconnor Dr, San Jose, California |
| Authorized Official Name and Position | Ronald C Diebel (PHYSICIAN) |
| Authorized Official Contact | 4083145000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C. Diebel, M.d. A Professional Corporation 1101 S Winchester Blvd. Ste. D-146 San Jose CA 95128-3915 Ph: (408) 314-5000 | Ronald C. Diebel, M.d. A Professional Corporation 251 Oconnor Dr Suite 1 San Jose CA 95128-1656 Ph: (408) 314-5000 |
| NPI Number | 1467635466 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467635466 | NPI | - | NPPES |
| G19785 | Other | CA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (California) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | G19786 (California) | Secondary |
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