| Claire T Diep Md Inc | |
|
33509 Western Avenue Union City CA 94587 | |
| (510) 441-8081 | |
| (510) 441-8080 |
| Full Name | Claire T Diep Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33509 Western Avenue, Union City, California |
| Authorized Official Name and Position | Claire Thuc Duyen Diep (PRESIDENT) |
| Authorized Official Contact | 5104418081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claire T Diep Md Inc 33509 Western Avenue Union City CA 94587 Ph: (510) 441-8081 | Claire T Diep Md Inc 33509 Western Avenue Union City CA 94587 Ph: (510) 441-8081 |
| NPI Number | 1609958636 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 07/17/2007 |
| Medicare PECOS PAC ID | 6406898642 |
|---|---|
| Medicare Enrollment ID | O20050620001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609958636 | NPI | - | NPPES |
| 00A559000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A55900 (California) | Primary |
| Provider Name | Claire T Diep |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366508707 PECOS PAC ID: 2769424902 Enrollment ID: I20050531000611 |
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