| Paul E. Diehl, M.d., A Medical Corporation | |
|
23101 Sherman Pl Ste 302 West Hills CA 91307-2047 | |
| (818) 347-1500 | |
| (818) 347-4119 |
| Full Name | Paul E. Diehl, M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 23101 Sherman Pl Ste 302, West Hills, California |
| Authorized Official Name and Position | Paul E Diehl (OWNER) |
| Authorized Official Contact | 8183471500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul E. Diehl, M.d., A Medical Corporation Po Box 77790 Corona CA 92877-0126 Ph: (951) 278-5590 | Paul E. Diehl, M.d., A Medical Corporation 23101 Sherman Pl Ste 302 West Hills CA 91307-2047 Ph: (818) 347-1500 |
| NPI Number | 1538294103 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 9032303565 |
|---|---|
| Medicare Enrollment ID | O20101028001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538294103 | NPI | - | NPPES |
| 000A44437 | Medicaid | CA | |
| A44437 | Other | CA | MEDICAL STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A44437 (California) | Primary |
| Provider Name | Paul E Diehl |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336215607 PECOS PAC ID: 5294798872 Enrollment ID: I20101028001277 |
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