| Dieta Inc. | |
|
15 Locust Ave Oak Park CA 91377-1115 | |
| (818) 292-2954 | |
| Not Available |
| Full Name | Dieta Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 15 Locust Ave, Oak Park, California |
| Authorized Official Name and Position | Asaf Kraus (CEO) |
| Authorized Official Contact | 8182922954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dieta Inc. 15 Locust Ave Oak Park CA 91377-1115 Ph: (818) 292-2954 | Dieta Inc. 15 Locust Ave Oak Park CA 91377-1115 Ph: (818) 292-2954 |
| NPI Number | 1922629542 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922629542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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